go back

Washington rates for MS-DRG 090

Concussion Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,784.30 / $20,390.70 / $35,908.00
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,746.00 / $18,729.82 / $26,662.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,821.15 / $15,854.83 / $26,560.55
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,059.17 / $14,100.90 / $17,895.81
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,409.00 / $15,985.07 / $25,981.83
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,480.75 / $18,481.00 / $25,337.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $12,771.95 / $33,271.26