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Arkansas rates for MS-DRG 694

Urinary Stones Without Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,601.66 / $7,219.78 / $14,672.50
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,485.77 / $8,485.77 / $8,485.77
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,557.17 / $6,966.03 / $7,963.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,471.32 / $7,914.71 / $10,293.43
Qualchoice
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,437.94 / $6,437.94 / $6,437.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,857.00 / $8,211.76 / $11,132.19