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Alaska rates for MS-DRG 804

Other O.R. proc of the blood & blood forming organs w/o CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,657.50 / $35,694.00 / $72,520.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54,560.02 / $54,560.02 / $57,969.00
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,500.00 / $21,085.80 / $27,120.13
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,500.00 / $17,190.52 / $57,969.00