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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
$11,755.20 / $11,755.20 / $13,932.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,514.91 / $13,854.22 / $20,725.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,614.31 / $11,899.74 / $20,246.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,601.76 / $13,801.54 / $22,591.13
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.26 / $7,905.42 / $11,527.73
Security Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,788.37 / $13,635.33 / $16,024.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,598.70 / $14,814.00 / $19,501.84