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Indiana 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
$194,984.46 / $269,153.48 / $301,995.17
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141,253.75 / $257,039.58 / $316,227.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128,824.96 / $194,984.46 / $478,630.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117,489.76 / $190,546.07 / $281,838.29