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Indiana rates for MS-DRG 399

Appendix Procedures Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,855.90 / $21,325.80 / $28,617.50
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,914.28 / $17,914.28 / $17,914.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,556.42 / $17,170.50 / $39,378.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,458.91 / $16,914.09 / $23,960.86