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Connecticut 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
$23,819.50 / $31,821.30 / $47,460.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,626.04 / $24,857.08 / $31,553.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,509.50 / $31,253.09 / $43,563.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,845.00 / $31,490.39 / $40,511.86