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Oregon rates for MS-DRG 694

Urinary Stones Without Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,197.01 / $21,379.62 / $43,651.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,481.54 / $18,620.87 / $28,840.32
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,803.84 / $16,595.87 / $24,547.09
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,220.18 / $13,182.57 / $16,982.44
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,125.38 / $17,782.79 / $28,183.83
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,964.78 / $15,135.61 / $19,054.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,489.63 / $17,378.01 / $21,379.62