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Tennessee rates for MS-DRG 693

Urinary stones w MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,236.00 / $18,968.20 / $33,378.60
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31,532.28 / $31,532.28 / $31,532.28
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,382.31 / $13,849.21 / $22,898.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,220.89 / $17,484.05 / $24,142.34
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38,965.60 / $38,965.60 / $45,729.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,520.00 / $16,096.35 / $23,485.73