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South Carolina 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
$25,748.60 / $28,609.60 / $28,609.60
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,814.41 / $20,814.41 / $20,814.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,738.39 / $20,698.91 / $48,268.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,513.00 / $32,644.00 / $49,504.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,067.92 / $36,286.43 / $55,187.15