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Washington rates for MS-DRG 004

Peripheral, Cranial Nerve and Other Nervous System Procedures with MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$215,112.00 / $343,099.00 / $604,198.00
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$103,989.81 / $302,221.45 / $439,443.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$198,906.10 / $266,777.96 / $446,915.42
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
$63,668.02 / $263,211.00 / $418,899.56
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$211,988.70 / $296,940.00 / $403,706.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$113,858.51 / $302,736.20 / $435,543.42