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Washington rates for MS-DRG 003

Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Neck With Major O.R. Procedures

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$329,627.00 / $525,748.00 / $925,843.00
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126,571.14 / $432,908.69 / $612,574.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$304,793.87 / $408,797.35 / $684,831.08
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97,799.02 / $99,999.00 / $99,999.00
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102,747.46 / $399,223.20 / $612,574.86
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$307,460.06 / $430,670.06 / $591,979.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $329,308.98 / $899,778.68