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Maine rates for MS-DRG 004

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

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109,647.82 / $275,422.87 / $323,593.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181,970.09 / $213,796.21 / $416,869.38
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186,208.71 / $186,208.71 / $186,208.71