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New Jersey 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
$4,908.00 / $270,850.00 / $391,302.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$178,683.06 / $309,496.00 / $420,112.96
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,817.00 / $4,817.00 / $4,817.00
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128,203.00 / $198,172.00 / $305,247.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,908.00 / $19,203.00 / $359,055.99