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Utah rates for MS-DRG 694

Urinary Stones Without Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,967.30 / $13,373.06 / $15,962.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,552.44 / $19,112.64 / $22,252.71
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,857.76 / $10,561.40 / $15,831.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $11,180.66 / $20,153.00