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Virginia rates for MS-DRG 694

Urinary Stones Without Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,748.79 / $13,543.00 / $15,326.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,709.48 / $13,172.84 / $17,790.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,078.87 / $12,466.55 / $16,988.68
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,406.00 / $14,056.00 / $19,893.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,044.00 / $10,933.64 / $20,766.64