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Michigan 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
$24,194.30 / $35,557.10 / $54,897.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32,254.80 / $45,855.01 / $58,788.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27,229.81 / $48,019.52 / $63,071.30
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,194.30 / $36,368.69 / $58,155.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,294.93 / $48,384.68 / $73,510.39