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Alaska rates for MS-DRG 675

Other Kidney And Urinary Tract Procedures Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,584.40 / $43,206.60 / $87,784.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66,043.37 / $66,043.37 / $70,169.85
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,500.00 / $25,523.77 / $38,397.49
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,500.00 / $24,338.86 / $70,169.85