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New Jersey 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
$14,940.20 / $23,036.50 / $29,871.20
AmeriHealth
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36,898.94 / $36,898.94 / $91,932.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,200.57 / $22,914.00 / $31,036.69
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,817.00 / $4,817.00 / $4,817.00
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,861.00 / $17,411.00 / $27,325.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,908.00 / $16,813.00 / $26,525.98