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Indiana rates for MS-DRG 402

Lymphoma&Nonacu Leuk Oth O.R Proc Wo Cc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45,153.40 / $74,901.89 / $100,513.00
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45,140.37 / $45,140.37 / $45,140.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41,089.51 / $60,307.50 / $138,309.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42,834.68 / $59,406.91 / $84,157.11