go back

Wyoming rates for MS-DRG 694

Urinary Stones Without Mcc

Insurance Carrier
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,581.43 / $8,311.86 / $17,391.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,725.50 / $20,352.34 / $22,006.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,107.00 / $10,107.00 / $10,107.00