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Rhode Island 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
$20,417.38 / $31,622.78 / $31,622.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,877.62 / $36,307.81 / $37,153.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,317.64 / $10,000.00 / $19,498.45