go back

Alaska rates for MS-DRG 673

Other Kidney And Urinary Tract Procedures With Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57,810.70 / $110,599.00 / $224,707.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169,055.58 / $169,055.58 / $179,618.40
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,500.00 / $65,334.88 / $102,789.08
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,500.00 / $65,154.50 / $179,618.40