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Alabama rates for MS-DRG 694

Urinary Stones Without Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,096.68 / $6,179.34 / $7,124.41
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,974.84 / $6,100.64 / $7,769.28
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,252.00 / $3,485.00 / $5,462.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,533.85 / $7,216.65 / $12,386.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,156.00 / $5,121.00 / $10,934.42