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Minnesota rates for MS-DRG 694

Urinary Stones Without Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,303.00 / $7,965.52 / $16,642.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,520.62 / $14,469.46 / $19,414.90
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,619.81 / $11,837.28 / $16,593.93
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,504.32 / $13,146.63 / $16,573.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,660.66 / $11,526.17 / $16,905.04