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Arizona rates for MS-DRG 964

Other Multiple Significant Trauma With Cc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,004.20 / $23,414.00 / $32,636.70
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,056.07 / $19,056.07 / $19,056.07
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,550.81 / $29,468.26 / $48,599.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,273.93 / $24,941.53 / $41,746.49
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,388.97 / $27,835.08 / $40,641.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,388.97 / $25,876.42 / $40,641.49