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Massachusetts 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
$10,232.93 / $21,379.62 / $35,481.34
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,165.95 / $19,498.45 / $51,286.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,022.64 / $20,417.38 / $30,199.52
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29,512.09 / $29,512.09 / $29,512.09
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,165.95 / $19,498.45 / $51,286.14
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,165.95 / $19,498.45 / $51,286.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,165.95 / $15,488.17 / $44,668.36