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Florida 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
$16,556.80 / $28,261.80 / $45,937.20
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,578.63 / $18,578.63 / $18,578.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,197.32 / $22,455.36 / $35,425.50
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,408.03 / $22,297.41 / $42,473.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,551.34 / $25,553.82 / $33,616.60