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California rates for MS-DRG 872

Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,334.90 / $19,499.00 / $31,618.70
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,220.00 / $15,573.89 / $23,683.93
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,071.08 / $17,297.08 / $43,916.47
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $14,859.17 / $27,360.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,272.71 / $20,866.11 / $35,901.46
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,815.75 / $27,321.50 / $32,064.10
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,368.92 / $17,390.98 / $33,978.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,017.00 / $17,296.84 / $35,172.87