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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
$141,253.75 / $199,526.23 / $309,029.54
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117,489.76 / $173,780.08 / $257,039.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131,825.67 / $213,796.21 / $295,120.92
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114,815.36 / $181,970.09 / $288,403.15
SummaCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83,176.38 / $131,825.67 / $218,776.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,471.29 / $218,776.16 / $301,995.17