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California rates for MS-DRG 690

Kidney and urinary tract infections without MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,463.20 / $20,918.30 / $25,705.00
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,915.99 / $14,915.99 / $14,915.99
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,953.88 / $17,208.00 / $26,853.39
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $11,109.52 / $21,620.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,269.86 / $19,776.09 / $26,467.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,647.45 / $21,268.90 / $24,960.86
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,769.26 / $15,338.41 / $26,539.46
Sutter Health Plus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,016.00 / $15,016.00 / $15,016.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,693.00 / $12,535.11 / $25,662.77