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Idaho 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
$9,005.04 / $9,005.04 / $9,005.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27,102.10 / $35,830.85 / $37,432.31
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,714.30 / $21,010.80 / $22,120.79
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,108.00 / $12,999.40 / $21,531.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,458.12 / $13,302.90 / $19,255.43