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Indiana rates for MS-DRG 839

Chemo w acute leukemia as sdx w/o CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,216.20 / $26,899.90 / $36,097.50
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,881.92 / $13,881.92 / $13,881.92
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,676.20 / $21,397.42 / $34,236.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,315.65 / $21,658.50 / $49,671.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,809.26 / $20,958.21 / $29,971.03