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Wisconsin rates for MS-DRG 694

Urinary Stones Without Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,748.98 / $13,803.84 / $14,454.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,511.38 / $15,135.61 / $21,379.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,120.11 / $12,302.69 / $21,877.62
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,232.93 / $11,748.98 / $14,791.08
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,511.38 / $13,803.84 / $22,387.21
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.72 / $8,912.51 / $11,748.98
Security Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,882.50 / $16,218.10 / $16,595.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,511.38 / $14,791.08 / $19,952.62