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Tennessee 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
$22,387.21 / $35,481.34 / $95,499.26
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45,708.82 / $45,708.82 / $45,708.82
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,988.33 / $34,673.69 / $53,703.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33,113.11 / $56,234.13 / $63,095.73
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138,038.43 / $138,038.43 / $138,038.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,951.21 / $48,977.88 / $75,857.76