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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
$12,022.64 / $12,022.64 / $12,022.64
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,964.78 / $17,782.79 / $27,542.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36,307.81 / $47,863.01 / $50,118.72
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,022.64 / $12,022.64 / $28,183.83
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,964.78 / $15,848.93 / $25,118.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,803.84 / $17,782.79 / $19,054.61