go back

Arizona 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
$17,782.79 / $26,915.35 / $38,018.94
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,709.64 / $23,442.29 / $38,904.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,848.93 / $22,387.21 / $38,018.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,952.62 / $24,547.09 / $36,307.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,589.25 / $23,988.33 / $34,673.69