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Ohio 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
$16,982.44 / $23,442.29 / $37,153.52
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,803.84 / $19,952.62 / $30,902.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,488.17 / $25,118.86 / $37,153.52
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,489.63 / $21,379.62 / $34,673.69
SummaCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,772.37 / $15,488.17 / $26,302.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,000.00 / $25,118.86 / $35,481.34