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North Dakota rates for MS-DRG 694

Urinary Stones Without Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,771.25 / $9,771.25 / $9,771.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,813.22 / $17,035.20 / $27,635.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,784.58 / $6,025.08 / $13,414.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,784.58 / $10,162.10 / $13,179.46