go back

Arkansas 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
$9,772.37 / $12,589.25 / $14,454.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,511.38 / $10,000.00 / $12,022.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,912.51 / $14,125.38 / $17,782.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,862.09 / $14,125.38 / $18,620.87