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Tennessee 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
$7,943.28 / $12,302.69 / $33,884.42
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,232.93 / $14,791.08 / $22,908.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,715.19 / $16,595.87 / $22,387.21
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48,977.88 / $48,977.88 / $48,977.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,951.21 / $16,982.44 / $26,302.68