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Washington rates for MS-DRG 089

Concussion With Cc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,061.30 / $27,212.30 / $47,920.90
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,081.02 / $23,348.72 / $33,342.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,775.90 / $21,159.04 / $35,446.33
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,535.06 / $17,547.75 / $22,013.69
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,600.00 / $19,972.15 / $31,960.32
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,582.71 / $22,783.20 / $31,168.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $17,044.78 / $44,402.12