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Washington rates for MS-DRG 004

Trach w MV >96 hrs or PDX exc face, mouth & neck w/o maj O.R.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229,086.77 / $346,736.85 / $575,439.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199,526.23 / $275,422.87 / $457,088.19
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97,723.72 / $100,000.00 / $100,000.00
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194,984.46 / $301,995.17 / $446,683.59
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213,796.21 / $288,403.15 / $407,380.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107,151.93 / $309,029.54 / $436,515.83