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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
$16,950.00 / $16,950.00 / $16,950.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25,696.20 / $29,550.63 / $47,938.67
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,869.64 / $10,034.40 / $23,270.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,869.64 / $10,034.40 / $23,735.42