go back

Delaware rates for MS-DRG 694

Urinary Stones Without Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,621.00 / $10,621.00 / $10,621.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,390.89 / $15,390.89 / $15,390.89
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,731.64 / $15,590.13 / $21,286.41