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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
$15,044.80 / $21,969.90 / $28,876.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,344.40 / $22,724.95 / $38,436.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,835.37 / $22,169.24 / $39,543.67
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,924.34 / $24,627.67 / $35,958.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,924.34 / $22,894.70 / $35,958.41