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Illinois 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
$12,589.25 / $17,378.01 / $26,302.68
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,772.37 / $15,488.17 / $22,908.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,964.78 / $15,135.61 / $26,915.35
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.82 / $169.82 / $257.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,220.18 / $16,982.44 / $24,547.09