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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
$19,797.59 / $30,408.30 / $39,583.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,492.40 / $30,298.00 / $41,127.48
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,817.00 / $4,817.00 / $4,817.00
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,900.00 / $22,145.00 / $33,801.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,098.00 / $19,346.00 / $37,508.32