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Virginia rates for MS-DRG 693

Urinary stones w MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,135.61 / $23,442.29 / $27,542.29
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,982.44 / $25,118.86 / $33,884.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,803.84 / $20,417.38 / $30,199.52
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,125.38 / $20,417.38 / $27,542.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,466.84 / $11,748.98 / $35,481.34