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Missouri rates for MS-DRG 865

Viral illness w MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,363.31 / $17,476.20 / $29,014.60
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,197.59 / $14,197.59 / $14,197.59
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,264.87 / $15,713.90 / $26,049.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,063.91 / $18,640.34 / $26,802.55
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,006.28 / $18,713.77 / $45,900.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,006.28 / $17,426.73 / $24,790.87