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Texas 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
$13,803.84 / $19,498.45 / $31,622.78
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,606.93 / $12,882.50 / $22,387.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,302.69 / $21,379.62 / $38,018.94
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48,977.88 / $48,977.88 / $48,977.88
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,413.10 / $15,848.93 / $31,622.78
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,022.64 / $17,782.79 / $40,738.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,623.41 / $16,595.87 / $37,153.52