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Alaska rates for MS-DRG 665

Prostatectomy With Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57,543.99 / $85,113.80 / $177,827.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125,892.54 / $125,892.54 / $134,896.29
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58,884.37 / $58,884.37 / $58,884.37
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27,542.29 / $48,977.88 / $85,113.80
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125,892.54 / $125,892.54 / $134,896.29