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Idaho rates for MS-DRG 696

Kidney & urinary tract signs & symptoms w/o MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,063.20 / $6,063.20 / $6,063.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,248.16 / $24,125.34 / $25,203.62
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,386.81 / $14,146.81 / $16,064.62
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,108.00 / $8,735.69 / $14,469.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,041.58 / $8,957.00 / $12,964.91