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Georgia 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
$16,219.10 / $21,484.50 / $37,589.69
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,700.00 / $8,700.00 / $8,700.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,939.30 / $15,682.63 / $30,055.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,355.41 / $21,189.00 / $33,561.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,496.00 / $22,140.77 / $38,031.73