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Connecticut rates for MS-DRG 694

Urinary Stones Without Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,944.00 / $17,164.59 / $26,812.30
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,893.61 / $15,126.67 / $22,301.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,823.21 / $18,016.62 / $25,113.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,312.76 / $18,153.41 / $22,293.30