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Idaho rates for MS-DRG 694

Urinary Stones Without Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,878.96 / $6,878.96 / $6,878.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,703.32 / $27,371.23 / $28,594.59
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,842.37 / $15,983.12 / $17,743.93
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,108.00 / $9,879.24 / $16,363.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,618.24 / $10,943.80 / $14,709.25