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Idaho rates for MS-DRG 604

Trauma To The Skin, Subcutaneous Tissue And Breast With Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,954.50 / $12,954.50 / $12,954.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38,988.57 / $51,545.58 / $53,849.42
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25,761.32 / $30,000.49 / $30,629.48
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,108.00 / $19,011.25 / $31,488.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,044.86 / $20,609.40 / $27,700.51