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Iowa rates for MS-DRG 694

Urinary Stones Without Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,514.48 / $9,093.52 / $11,199.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,355.02 / $8,031.97 / $8,171.11
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.00 / $150.00 / $150.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,176.01 / $9,277.21 / $14,537.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,176.01 / $10,107.00 / $13,714.93