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Washington rates for MS-DRG 101

Seizures w/o MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,791.08 / $22,387.21 / $37,153.52
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,481.54 / $11,481.54 / $11,481.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,882.50 / $17,782.79 / $29,512.09
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,022.64 / $15,135.61 / $19,498.45
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,302.69 / $19,498.45 / $28,840.32
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,489.63 / $18,620.87 / $25,118.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,918.31 / $20,417.38 / $28,183.83