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Missouri rates for MS-DRG 694

Urinary Stones Without Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,943.95 / $9,127.12 / $15,137.60
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,976.00 / $8,720.71 / $9,504.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,434.63 / $8,141.40 / $13,791.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,859.21 / $9,725.12 / $13,983.55
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,529.54 / $9,224.84 / $15,651.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,529.54 / $9,224.84 / $13,101.29