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South Carolina rates for MS-DRG 804

Other O.R. Procedures Of The Blood And Blood Forming Organs Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,271.60 / $23,635.10 / $23,635.10
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,772.05 / $20,520.80 / $39,972.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,805.00 / $26,023.00 / $40,896.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,803.77 / $35,310.24 / $45,591.43