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Oregon 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
$31,622.78 / $37,153.52 / $75,857.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,952.62 / $32,359.37 / $40,738.03
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,387.21 / $27,542.29 / $42,657.95
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,378.01 / $22,387.21 / $30,199.52
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,952.62 / $28,183.83 / $40,738.03
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,488.17 / $22,387.21 / $29,512.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,442.29 / $30,199.52 / $37,153.52