go back

Washington rates for MS-DRG 042

Periph/cranial nerve & other nerv syst proc w/o CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,831.20 / $42,795.10 / $75,362.30
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,737.21 / $36,497.51 / $53,056.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,809.77 / $33,275.50 / $55,744.24
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,693.57 / $31,369.80 / $39,249.92
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,845.14 / $32,740.47 / $49,653.89
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25,089.66 / $35,143.96 / $47,780.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $26,805.27 / $73,240.66