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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
$8,128.31 / $9,549.93 / $14,125.38
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,549.93 / $10,471.29 / $16,595.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,265.80 / $10,715.19 / $13,489.63