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Virginia 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
$123,026.88 / $239,883.29 / $281,838.29
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151,356.12 / $257,039.58 / $371,535.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34,673.69 / $208,929.61 / $338,844.16
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51,286.14 / $162,181.01 / $281,838.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,073.80 / $245,470.89 / $371,535.23