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Maine rates for MS-DRG 621

O.R. procedures for obesity w/o CC/MCC

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,488.17 / $30,199.52 / $33,884.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,498.45 / $23,442.29 / $45,708.82
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25,118.86 / $25,118.86 / $25,118.86