go back

Nebraska rates for MS-DRG 694

Urinary Stones Without Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,226.19 / $12,827.70 / $16,345.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,753.50 / $13,140.38 / $15,477.66
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,001.69 / $13,326.42 / $18,669.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,704.64 / $13,326.42 / $18,669.34