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California rates for MS-DRG 693

Urinary stones with MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,413.00 / $21,884.00 / $34,743.19
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,068.00 / $24,539.50 / $56,489.82
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $19,501.05 / $39,004.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,718.75 / $26,280.94 / $47,170.44
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,834.80 / $38,965.60 / $45,729.44
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,412.41 / $22,723.39 / $44,244.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,717.00 / $17,941.00 / $41,048.93