go back

Tennessee rates for MS-DRG 915

Allergic Reactions With Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,053.10 / $23,724.00 / $41,747.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,367.44 / $7,600.06 / $12,266.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,783.52 / $21,505.19 / $29,933.43
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46,054.35 / $46,054.35 / $54,048.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,787.00 / $20,675.27 / $29,532.26