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North Dakota 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
$16,982.44 / $16,982.44 / $16,982.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,302.68 / $30,199.52 / $47,863.01
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,912.51 / $10,000.00 / $23,442.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,912.51 / $18,197.01 / $22,908.68