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Wisconsin rates for MS-DRG 693

Urinary stones with MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,218.59 / $20,218.59 / $23,963.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,022.94 / $26,070.19 / $38,999.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,536.31 / $20,467.18 / $34,822.55
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,794.76 / $23,738.22 / $38,856.05
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$235.71 / $14,876.04 / $21,254.28
Security Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,835.71 / $23,452.36 / $27,562.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,194.22 / $25,015.36 / $31,533.90