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South Carolina 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
$16,595.87 / $23,442.29 / $53,703.18
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,220.18 / $23,988.33 / $39,810.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,488.17 / $23,988.33 / $33,884.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,782.79 / $36,307.81 / $54,954.09