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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
$4,804.00 / $15,922.00 / $30,740.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$688.00 / $3,030.00 / $18,370.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,642.62 / $19,120.00 / $35,744.16
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,006.40 / $34,384.16 / $34,384.16
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,927.00 / $16,950.00 / $39,094.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,257.00 / $15,187.20 / $34,721.74