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Alaska rates for MS-DRG 825

Lymphoma & non-acute leukemia w other proc w/o CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,566.70 / $35,520.30 / $72,167.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54,294.46 / $54,294.46 / $57,686.85
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,500.00 / $20,983.17 / $30,191.53
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,500.00 / $19,137.39 / $57,686.85