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Alaska 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
$257,039.58 / $380,189.40 / $794,328.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562,341.33 / $562,341.33 / $588,843.66
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263,026.80 / $263,026.80 / $263,026.80
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123,026.88 / $213,796.21 / $346,736.85
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562,341.33 / $562,341.33 / $588,843.66