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Washington rates for MS-DRG 013

Sinus and Mastoid Procedures with CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44,754.40 / $71,382.20 / $125,704.00
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,521.63 / $56,315.15 / $81,903.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41,382.65 / $55,503.47 / $92,981.28
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27,563.61 / $44,926.39 / $49,448.81
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,610.91 / $49,363.12 / $76,649.88
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38,730.48 / $54,251.14 / $74,571.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $44,711.13 / $122,165.27