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Illinois 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
$128,824.96 / $177,827.94 / $269,153.48
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95,499.26 / $154,881.66 / $229,086.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109,647.82 / $154,881.66 / $275,422.87
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $1,737.80 / $2,754.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109,647.82 / $169,824.37 / $251,188.64