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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
$8,542.79 / $11,787.70 / $19,728.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,272.00 / $11,174.41 / $17,400.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,743.49 / $13,261.68 / $22,239.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,062.00 / $13,343.04 / $23,799.16