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Washington rates for MS-DRG 028

Acute Myocardial Infarction, Discharged Alive with MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93,308.90 / $148,826.00 / $262,082.00
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43,746.27 / $126,415.53 / $183,771.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86,279.19 / $115,719.86 / $193,857.80
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61,777.17 / $92,241.60 / $99,999.00
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31,656.33 / $113,247.55 / $171,984.89
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86,902.39 / $121,727.22 / $165,494.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $46,263.91 / $158,541.01