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Louisiana 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
$8,511.38 / $13,803.84 / $19,952.62
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,912.51 / $13,803.84 / $17,782.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,709.64 / $13,803.84 / $22,387.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,073.80 / $11,748.98 / $21,877.62