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California rates for MS-DRG 876

O.R. procedure w principal diagnoses of mental illness

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36,354.00 / $47,172.00 / $97,971.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31,189.00 / $53,631.18 / $113,742.27
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $41,593.00 / $95,200.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36,643.12 / $64,335.13 / $162,971.24
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71,715.20 / $104,134.40 / $122,210.56
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45,374.36 / $47,332.12 / $54,027.01
Sutter Health Plus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55,678.00 / $55,678.00 / $55,678.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,760.00 / $51,573.23 / $117,999.26