go back

Alaska rates for MS-DRG 693

Urinary stones w MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,499.20 / $35,391.30 / $71,905.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54,097.30 / $54,097.30 / $57,477.38
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,415.00 / $7,415.00 / $7,415.00
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,500.00 / $20,906.98 / $36,069.40
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,500.00 / $22,863.17 / $57,477.38