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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
$789.00 / $6,085.00 / $19,401.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,200.00 / $15,766.00 / $24,623.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,155.91 / $19,838.28 / $26,825.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,633.95 / $21,696.00 / $31,803.62