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Maine rates for MS-DRG 696

Kidney & urinary tract signs & symptoms w/o MCC

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,332.54 / $13,803.84 / $16,218.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,912.51 / $10,715.19 / $20,892.96
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,715.19 / $10,715.19 / $10,715.19