go back

Montana rates for MS-DRG 694

Urinary Stones Without Mcc

Insurance Carrier
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,550.00 / $41,000.00 / $47,500.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,199.54 / $18,199.54 / $18,199.54
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,371.56 / $7,371.56 / $18,199.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,107.00 / $10,107.00 / $10,107.00