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New York 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
$13,182.57 / $35,481.34 / $64,565.42
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36,307.81 / $53,703.18 / $67,608.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29,512.09 / $45,708.82 / $58,884.37
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,908.68 / $40,738.03 / $102,329.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,332.54 / $35,481.34 / $57,543.99