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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
$8,672.95 / $12,665.10 / $16,646.30
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,835.89 / $10,446.58 / $17,668.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,810.54 / $12,721.39 / $21,292.73
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,909.41 / $14,197.24 / $20,729.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,053.45 / $13,661.77 / $19,692.59