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Alaska rates for MS-DRG 515

Other musculoskelet sys & conn tiss O.R. proc w MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43,849.20 / $83,888.80 / $170,439.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128,228.11 / $128,228.11 / $136,239.98
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,500.00 / $49,556.30 / $75,857.85
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,500.00 / $48,083.71 / $136,239.98