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Tennessee rates for MS-DRG 694

Urinary Stones Without Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,570.88 / $7,079.46 / $19,498.45
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,754.40 / $8,317.64 / $12,882.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,165.95 / $9,549.93 / $12,882.50
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,183.83 / $28,183.83 / $28,183.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,801.89 / $10,471.29 / $15,488.17