go back

Alaska rates for MS-DRG 847

Chemotherapy w/o acute leukemia as secondary diagnosis w CC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,999.80 / $34,435.80 / $69,964.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52,636.74 / $52,636.74 / $55,925.55
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,500.00 / $20,342.50 / $31,170.36
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,500.00 / $19,757.83 / $55,925.55