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New York rates for MS-DRG 694

Urinary Stones Without Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,219.99 / $12,690.00 / $22,205.80
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,145.87 / $22,441.80 / $31,087.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,094.05 / $17,820.41 / $28,492.97
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,990.91 / $19,197.77 / $40,258.33
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,589.21 / $7,589.21 / $7,589.21
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,094.05 / $19,070.99 / $28,500.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,407.59 / $15,806.00 / $26,466.02