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Georgia rates for MS-DRG 694

Urinary Stones Without Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,748.98 / $14,791.08 / $22,908.68
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,025.60 / $7,943.28 / $14,125.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,309.57 / $14,454.40 / $21,877.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,120.11 / $12,589.25 / $20,892.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,467.37 / $12,022.64 / $19,498.45