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North Carolina rates for MS-DRG 694

Urinary Stones Without Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,413.10 / $8,912.51 / $15,488.17
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,918.31 / $8,317.64 / $17,378.01
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,248.07 / $9,120.11 / $15,135.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,585.78 / $12,022.64 / $15,488.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,585.78 / $10,964.78 / $18,197.01