go back

Washington rates for MS-DRG 696

Kidney and urinary tract signs and symptoms without MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,700.20 / $17,066.50 / $30,054.20
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,979.90 / $8,979.90 / $8,979.90
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,600.00 / $14,518.87 / $21,106.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,894.04 / $13,270.14 / $22,230.59
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,976.47 / $11,627.93 / $14,309.69
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,185.30 / $12,885.68 / $19,752.53
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,980.77 / $13,980.42 / $19,007.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $10,689.84 / $27,847.31