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Washington rates for MS-DRG 069

Transient ischemia w/o thrombolytic

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,405.40 / $19,786.30 / $34,843.69
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,746.00 / $16,755.13 / $24,357.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,470.77 / $15,384.89 / $25,773.28
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,618.07 / $12,987.15 / $15,460.72
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,409.00 / $14,906.93 / $22,794.90
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,518.05 / $16,133.74 / $21,934.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $12,393.38 / $32,285.10