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Kansas 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
$6,025.60 / $14,454.40 / $20,417.38
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,079.46 / $7,079.46 / $7,079.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,302.69 / $19,054.61 / $30,199.52
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,232.93 / $14,454.40 / $30,199.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,912.51 / $12,589.25 / $25,703.96