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Oklahoma 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
$9,120.11 / $17,378.01 / $23,442.29
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,120.11 / $13,489.63 / $21,379.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,912.51 / $18,620.87 / $25,118.86
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,754.40 / $12,589.25 / $27,542.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,248.07 / $13,489.63 / $26,302.68