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Kansas rates for MS-DRG 694

Urinary Stones Without Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,111.74 / $9,401.51 / $15,137.60
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,205.94 / $8,205.94 / $8,448.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,474.01 / $5,930.56 / $13,281.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,805.48 / $9,829.87 / $13,925.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,585.25 / $8,039.00 / $17,314.66
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,948.74 / $9,829.00 / $14,864.03