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Washington rates for MS-DRG 059

Skin Ulcers with MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,271.20 / $30,737.10 / $54,128.10
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,897.99 / $24,905.08 / $36,274.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,819.32 / $23,899.73 / $40,037.64
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,287.79 / $18,600.45 / $22,727.76
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,600.00 / $22,631.59 / $33,882.69
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,120.61 / $24,226.00 / $32,963.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,208.54 / $11,800.21 / $27,819.74