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California rates for MS-DRG 696

Kidney & urinary tract signs & symptoms w/o MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,912.51 / $15,848.93 / $30,199.52
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,912.51 / $8,912.51 / $8,912.51
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,772.37 / $17,378.01 / $28,840.32
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $11,481.54 / $24,547.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,332.54 / $14,125.38 / $24,547.09
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25,118.86 / $25,118.86 / $25,118.86
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,549.93 / $15,848.93 / $28,183.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,754.40 / $13,489.63 / $27,542.29