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Washington, DC rates for MS-DRG 694

Urinary Stones Without Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,399.50 / $19,013.30 / $26,080.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,216.98 / $17,000.41 / $31,968.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,803.92 / $16,429.77 / $28,475.77