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Maine rates for MS-DRG 004

Trach w MV >96 hrs or PDX exc face, mouth & neck w/o maj O.R.

Facilitymedian $263,027 · 10th–90th $177,828$323,5940%20%10th90th$263,027$100.0K$200.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$109,647.82 / $275,422.87 / $323,593.66
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$181,970.09 / $213,796.21 / $416,869.38
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$186,208.71 / $186,208.71 / $186,208.71
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$177,827.94 / $177,827.94 / $177,827.94