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Tennessee 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
$81,283.05 / $125,892.54 / $346,736.85
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104,712.85 / $151,356.12 / $234,422.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104,712.85 / $169,824.37 / $223,872.11
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501,187.23 / $501,187.23 / $501,187.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,951.21 / $173,780.08 / $269,153.48