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Missouri 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
$36,546.30 / $47,281.10 / $124,724.00
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,205.50 / $20,205.50 / $22,624.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,458.00 / $47,763.54 / $71,921.28
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25,128.13 / $49,596.89 / $71,727.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,167.23 / $49,146.59 / $71,727.00