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Utah rates for MS-DRG 693

Urinary stones with MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,863.30 / $24,319.60 / $34,825.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,869.84 / $32,873.16 / $41,874.05
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,786.34 / $19,873.93 / $29,791.77
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $12,864.18 / $29,825.00