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Oklahoma rates for MS-DRG 694

Urinary Stones Without Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,962.22 / $9,089.61 / $12,869.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,420.16 / $8,770.56 / $14,435.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,159.22 / $8,176.58 / $14,547.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,830.33 / $7,896.00 / $17,202.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,830.33 / $8,291.00 / $17,202.37