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Washington rates for MS-DRG 039

Extracranial procedures w/o CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,255.50 / $29,117.10 / $51,275.30
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,522.27 / $23,935.90 / $34,795.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,880.18 / $22,640.13 / $37,927.51
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,760.97 / $18,795.15 / $22,893.05
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,600.00 / $21,203.53 / $32,564.14
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,454.36 / $23,048.20 / $31,335.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $18,237.88 / $49,831.80