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Maine rates for MS-DRG 872

Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,803.84 / $20,417.38 / $23,988.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,182.57 / $15,848.93 / $30,902.95
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,218.10 / $16,218.10 / $16,218.10