go back

Virginia rates for MS-DRG 399

Appendix Procedures Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,811.50 / $19,831.90 / $22,443.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,830.47 / $18,691.81 / $27,873.45
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,028.00 / $21,805.29 / $27,878.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,274.00 / $22,920.33 / $30,505.11