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Maine rates for MS-DRG 204

Respiratory signs & symptoms

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,964.78 / $16,218.10 / $18,620.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,471.29 / $12,589.25 / $23,988.33
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,302.69 / $12,302.69 / $12,302.69