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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
$9,717.10 / $12,524.00 / $25,452.10
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,593.84 / $10,772.56 / $12,315.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,756.32 / $13,729.50 / $17,855.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,518.00 / $12,475.20 / $17,538.50