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Missouri 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
$16,218.10 / $20,417.38 / $36,307.81
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,135.61 / $15,135.61 / $15,135.61
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,943.28 / $18,620.87 / $31,622.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,595.87 / $21,379.62 / $33,884.42
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,772.37 / $19,498.45 / $33,113.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,748.98 / $18,197.01 / $28,183.83