go back

California rates for MS-DRG 658

Kidney And Ureter Procedures For Neoplasm Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,057.80 / $40,100.10 / $45,717.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,266.40 / $31,585.00 / $50,733.00
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $20,352.25 / $43,865.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,707.01 / $37,910.47 / $51,326.31
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27,448.00 / $39,856.00 / $46,774.40
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,955.56 / $29,403.51 / $51,326.31
Sutter Health Plus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29,553.00 / $29,553.00 / $29,553.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,184.00 / $26,230.08 / $53,144.49