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Missouri 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
$12,589.25 / $14,791.08 / $19,054.61
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,606.93 / $15,488.17 / $26,302.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,489.63 / $17,782.79 / $26,302.68
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,511.38 / $16,218.10 / $26,915.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,549.93 / $15,135.61 / $23,442.29