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Michigan rates for MS-DRG 804

Other O.R. Procedures Of The Blood And Blood Forming Organs Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,488.56 / $12,475.20 / $19,260.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,582.02 / $29,260.41 / $37,513.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,553.58 / $18,470.93 / $23,362.40
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,488.56 / $12,760.00 / $20,403.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,927.28 / $16,975.75 / $25,791.12