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Massachusetts 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
$29,075.60 / $60,292.40 / $78,720.30
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,840.42 / $55,059.37 / $147,438.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36,643.12 / $53,532.73 / $78,101.89
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79,995.70 / $79,995.70 / $79,995.70
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49,084.23 / $56,748.33 / $87,632.74
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,840.42 / $55,059.37 / $147,438.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,840.42 / $55,059.37 / $115,224.26