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Maine rates for MS-DRG 003

Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Neck With Major O.R. Procedures

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173,780.08 / $416,869.38 / $489,778.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275,422.87 / $331,131.12 / $630,957.34
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$301,995.17 / $301,995.17 / $301,995.17