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Idaho 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
$28,044.70 / $28,044.70 / $28,044.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84,405.05 / $111,589.30 / $116,576.80
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52,652.38 / $61,316.63 / $65,434.62
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,764.00 / $39,904.44 / $66,094.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32,570.12 / $44,616.60 / $74,016.00