go back

Maine rates for MS-DRG 804

Other O.R. proc of the blood & blood forming organs w/o CC/MCC

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,571.19 / $20,102.18 / $25,772.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,543.20 / $20,942.06 / $41,000.01