go back

Utah rates for MS-DRG 695

Kidney & urinary tract signs & symptoms w MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,047.50 / $20,689.30 / $23,585.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,903.77 / $27,942.37 / $32,117.49
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,341.16 / $15,243.34 / $22,850.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $3,775.00 / $10,943.88