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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
$13,182.57 / $15,848.93 / $19,054.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,803.84 / $14,125.38 / $22,908.68
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $151.36 / $151.36
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,589.25 / $16,218.10 / $25,118.86
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,317.64 / $19,054.61 / $19,054.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,882.50 / $18,197.01 / $26,915.35