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Massachusetts 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
$104,712.85 / $213,796.21 / $363,078.05
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,165.95 / $199,526.23 / $524,807.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123,026.88 / $204,173.79 / $309,029.54
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$301,995.17 / $301,995.17 / $301,995.17
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,165.95 / $199,526.23 / $524,807.46
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,165.95 / $199,526.23 / $524,807.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,165.95 / $162,181.01 / $457,088.19