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Idaho rates for MS-DRG 673

Other Kidney And Urinary Tract Procedures With Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36,974.10 / $36,974.10 / $36,974.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$111,279.38 / $147,119.01 / $153,694.53
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54,135.43 / $68,933.11 / $80,276.44
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,764.00 / $46,676.16 / $77,310.39
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42,940.35 / $54,620.80 / $79,061.50