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Missouri rates for MS-DRG 693

Urinary stones w MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,449.86 / $15,682.20 / $26,036.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,226.62 / $15,320.09 / $25,952.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,517.60 / $16,726.91 / $24,051.28
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,697.00 / $15,866.44 / $26,919.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,697.00 / $15,531.66 / $22,533.82