go back

Maine rates for MS-DRG 695

Kidney & urinary tract signs & symptoms w MCC

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,125.38 / $22,908.68 / $26,915.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,791.08 / $17,782.79 / $34,673.69
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,782.79 / $17,782.79 / $17,782.79