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Illinois rates for MS-DRG 804

Other O.R. Procedures Of The Blood And Blood Forming Organs Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,441.30 / $16,902.50 / $23,743.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,013.85 / $15,454.33 / $22,543.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,853.42 / $14,983.80 / $27,120.00
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.37 / $158.91 / $253.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,954.50 / $16,544.56 / $27,228.48