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Ohio 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
$124,524.00 / $196,108.00 / $271,363.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115,060.59 / $184,368.24 / $279,321.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117,134.50 / $174,264.46 / $280,878.69
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$106,607.30 / $174,264.46 / $273,509.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,403.00 / $210,333.51 / $291,835.15