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South Carolina rates for MS-DRG 694

Urinary Stones Without Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,262.50 / $13,625.00 / $13,625.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,457.81 / $9,782.62 / $18,200.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,521.00 / $15,001.60 / $23,576.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,249.00 / $19,902.08 / $31,969.97