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California 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
$17,378.01 / $31,622.78 / $58,884.37
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,232.93 / $33,884.42 / $57,543.99
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $28,840.32 / $51,286.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,054.61 / $27,542.29 / $48,977.88
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48,977.88 / $48,977.88 / $48,977.88
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,054.61 / $30,902.95 / $56,234.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,754.40 / $26,302.68 / $53,703.18