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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
$155,562.00 / $258,052.00 / $346,285.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104,521.03 / $219,424.77 / $339,261.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$127,737.61 / $207,771.00 / $476,502.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154,709.37 / $201,053.07 / $287,513.51