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Washington rates for MS-DRG 087

Traumatic stupor & coma, coma <1 hr w/o CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,205.30 / $22,657.10 / $39,899.19
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,899.67 / $18,590.70 / $27,025.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,135.09 / $17,617.12 / $29,512.80
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,533.49 / $14,249.40 / $17,102.98
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,409.00 / $16,468.04 / $25,292.15
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,779.89 / $17,901.24 / $24,337.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $14,191.57 / $36,969.43