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West Virginia rates for MS-DRG 694

Urinary Stones Without Mcc

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,186.74 / $10,719.45 / $14,837.45
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,121.39 / $10,336.06 / $16,436.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,304.42 / $10,826.55 / $12,941.83