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Ohio 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
$13,803.84 / $19,498.45 / $30,199.52
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,481.54 / $16,595.87 / $25,703.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,882.50 / $20,892.96 / $30,902.95
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,220.18 / $17,782.79 / $28,183.83
SummaCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,128.31 / $12,882.50 / $21,877.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,709.64 / $20,892.96 / $29,512.09