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Illinois rates for MS-DRG 917

Poisoning and toxic effects of drugs with MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,390.10 / $19,550.09 / $29,987.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,568.77 / $17,771.71 / $26,068.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,553.47 / $17,330.82 / $31,368.00
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.32 / $183.80 / $292.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,827.01 / $19,136.05 / $31,493.47