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Washington rates for MS-DRG 058

Multiple sclerosis & cerebellar ataxia w MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,548.50 / $42,344.30 / $74,568.39
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,937.66 / $36,438.07 / $54,123.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,548.42 / $32,924.97 / $55,157.02
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,766.81 / $29,542.60 / $34,078.17
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,336.87 / $34,048.26 / $49,314.27
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,918.05 / $36,415.92 / $49,555.77
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $26,522.89 / $69,092.86