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California rates for MS-DRG 667

Prostatectomy w/o CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,013.30 / $23,281.10 / $51,916.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,073.56 / $16,868.00 / $36,130.25
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $14,051.00 / $28,025.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,949.19 / $22,124.00 / $49,622.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,757.34 / $27,236.70 / $31,964.58
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,429.38 / $18,799.87 / $49,420.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,760.00 / $18,091.90 / $35,068.75