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Alaska rates for MS-DRG 839

Chemotherapy with acute leukemia as secondary diagnosis without CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,866.90 / $38,007.80 / $77,221.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58,096.76 / $58,096.76 / $61,726.73
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,500.00 / $22,452.65 / $33,616.19
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,500.00 / $21,308.17 / $61,726.73
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,670.00 / $18,670.00 / $18,670.00