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Idaho rates for MS-DRG 894

Alcohol/drug abuse or dependence, left ama

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,428.72 / $5,428.72 / $5,428.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,600.75 / $21,600.75 / $22,566.20
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,378.03 / $12,666.41 / $14,758.40
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$682.20 / $805.00 / $1,757.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,304.72 / $8,019.70 / $11,608.21