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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
$166,965.00 / $263,938.00 / $427,991.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$163,616.00 / $233,681.94 / $496,711.89
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100,172.24 / $354,099.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$159,096.65 / $267,562.20 / $485,962.52
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257,872.50 / $374,445.00 / $439,443.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$159,616.12 / $232,661.97 / $474,681.06
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,069.00 / $234,130.21 / $476,100.32