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New York 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
$10,715.19 / $28,183.83 / $52,480.75
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30,199.52 / $44,668.36 / $56,234.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,988.33 / $38,018.94 / $48,977.88
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,620.87 / $33,884.42 / $85,113.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,332.54 / $29,512.09 / $46,773.51