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Rhode Island rates for MS-DRG 694

Urinary Stones Without Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27,359.50 / $27,359.50 / $27,359.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,560.36 / $21,152.02 / $21,517.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,587.00 / $9,796.00 / $11,157.20