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California rates for MS-DRG 804

Other O.R. Procedures Of The Blood And Blood Forming Organs Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,345.20 / $25,838.60 / $41,898.69
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,987.48 / $17,007.43 / $38,865.15
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $16,429.45 / $35,077.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,779.34 / $28,206.16 / $49,952.33
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,177.20 / $29,298.40 / $34,384.16
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,348.75 / $22,917.76 / $49,952.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,693.00 / $20,997.66 / $42,987.91