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Alaska rates for MS-DRG 695

Kidney & urinary tract signs & symptoms w MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,737.80 / $30,108.20 / $61,171.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46,021.94 / $46,021.94 / $48,897.45
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,500.00 / $17,786.09 / $27,664.74
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,500.00 / $17,535.74 / $48,897.45