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Virginia 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
$15,176.40 / $23,492.70 / $26,585.70
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,323.01 / $18,638.20 / $25,634.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,014.26 / $20,920.00 / $33,018.60
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,322.00 / $21,111.00 / $27,878.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,274.00 / $27,151.19 / $36,136.04