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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
$5,370.32 / $5,370.32 / $5,370.32
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,754.40 / $7,413.10 / $14,125.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,379.62 / $21,379.62 / $22,387.21
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,370.32 / $5,370.32 / $11,481.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,309.57 / $7,943.28 / $8,709.64