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Idaho rates for MS-DRG 903

Wound Debridements For Injuries Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,292.50 / $10,292.50 / $10,292.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30,976.86 / $40,953.54 / $42,783.97
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,933.16 / $23,529.09 / $24,771.17
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,764.00 / $15,670.21 / $25,954.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,953.31 / $15,204.80 / $22,008.36