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Indiana 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
$17,428.00 / $28,910.00 / $38,795.00
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,669.30 / $16,669.30 / $16,669.30
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,912.00 / $23,483.45 / $37,574.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,310.70 / $23,277.00 / $53,383.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,717.12 / $22,594.21 / $32,210.71