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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
$190,584.00 / $364,610.00 / $740,790.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$557,324.93 / $557,324.93 / $592,147.35
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,500.00 / $215,389.27 / $346,615.08
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,500.00 / $219,707.50 / $592,147.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$179,099.00 / $179,099.00 / $179,099.00