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Arizona rates for MS-DRG 694

Urinary Stones Without Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,232.93 / $15,488.17 / $21,877.62
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,981.07 / $10,715.19 / $18,197.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,120.11 / $12,589.25 / $21,379.62
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,481.54 / $14,125.38 / $20,892.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,413.10 / $13,803.84 / $19,952.62