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California rates for MS-DRG 004

Trach w MV >96 hrs or PDX exc face, mouth & neck w/o maj O.R.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177,827.94 / $323,593.66 / $602,559.59
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,232.93 / $346,736.85 / $588,843.66
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $95,499.26 / $501,187.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165,958.69 / $269,153.48 / $489,778.82
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501,187.23 / $501,187.23 / $501,187.23
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186,208.71 / $281,838.29 / $562,341.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,754.40 / $269,153.48 / $537,031.80