go back

North Carolina 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
$12,302.69 / $15,488.17 / $26,915.35
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,791.08 / $14,791.08 / $16,982.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,120.11 / $15,488.17 / $25,118.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,182.57 / $20,892.96 / $26,915.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,022.64 / $20,417.38 / $31,622.78