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Michigan 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
$11,220.18 / $17,782.79 / $23,988.33
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,379.62 / $31,622.78 / $38,904.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,379.62 / $21,379.62 / $21,379.62
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,481.54 / $15,848.93 / $22,387.21
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,379.62 / $21,379.62 / $21,379.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,000.00 / $15,488.17 / $24,547.09