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California 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
$19,785.40 / $31,276.90 / $50,717.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,387.57 / $24,079.00 / $55,024.99
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $21,570.53 / $46,458.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,492.22 / $34,142.76 / $58,292.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,566.73 / $41,480.44 / $48,680.83
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,501.89 / $27,605.28 / $58,292.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,693.00 / $25,417.08 / $52,035.66