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Illinois rates for MS-DRG 694

Urinary Stones Without Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,172.10 / $10,064.40 / $14,707.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,727.10 / $9,065.76 / $14,417.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,256.73 / $8,637.79 / $15,634.00
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.51 / $96.61 / $155.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,184.60 / $9,904.92 / $14,602.94