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Louisiana rates for MS-DRG 694

Urinary Stones Without Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,924.71 / $6,795.32 / $11,373.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,423.00 / $7,848.38 / $11,866.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,040.39 / $7,645.03 / $12,820.66
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,160.00 / $5,348.00 / $13,537.48