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Washington rates for MS-DRG 063

Ischemic stroke/precereb occl/trans isch w thrombolytic w/o CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,801.00 / $34,772.10 / $61,233.80
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,434.10 / $30,238.98 / $43,689.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,158.57 / $27,037.19 / $45,293.61
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,527.36 / $27,008.80 / $33,237.87
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,555.06 / $26,168.16 / $41,646.55
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,441.14 / $29,638.24 / $40,299.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $21,779.96 / $56,737.38