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Idaho 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
$11,932.80 / $11,932.80 / $11,932.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35,913.66 / $47,480.34 / $49,602.48
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,860.02 / $27,786.33 / $28,308.28
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,764.00 / $15,291.25 / $25,304.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,858.32 / $17,628.00 / $25,515.85