go back

Washington rates for MS-DRG 057

Degenerative nervous system disorders w/o MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,120.70 / $32,092.00 / $56,514.10
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,089.00 / $28,357.33 / $41,499.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,604.82 / $24,953.26 / $41,802.53
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,005.01 / $20,913.75 / $26,097.10
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,600.00 / $24,864.13 / $38,905.73
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,658.71 / $27,536.64 / $37,437.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $20,101.23 / $52,364.27