go back

New Jersey 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
$21,877.62 / $32,359.37 / $43,651.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,848.93 / $33,113.11 / $43,651.58
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,595.87 / $26,915.35 / $40,738.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,165.95 / $18,197.01 / $37,153.52