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Iowa 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
$13,035.20 / $15,774.30 / $19,427.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,758.60 / $13,932.90 / $14,174.27
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.00 / $150.00 / $150.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,448.08 / $16,093.01 / $25,217.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,259.07 / $20,335.93 / $26,837.95