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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
$8,574.00 / $170,178.00 / $271,571.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115,885.00 / $237,129.66 / $361,432.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33,482.00 / $179,721.92 / $309,038.59
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56,521.00 / $167,714.00 / $271,335.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,008.00 / $205,817.58 / $369,125.96