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Alaska rates for MS-DRG 696

Kidney & urinary tract signs & symptoms w/o MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,480.09 / $18,136.50 / $36,848.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27,722.60 / $27,722.60 / $29,454.75
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,500.00 / $10,713.95 / $16,968.78
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,500.00 / $10,755.94 / $29,454.75