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Missouri 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
$134,896.29 / $151,356.12 / $194,984.46
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66,069.34 / $147,910.84 / $257,039.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134,896.29 / $181,970.09 / $251,188.64
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83,176.38 / $165,958.69 / $263,026.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97,723.72 / $151,356.12 / $234,422.88