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Washington rates for MS-DRG 101

Seizures without MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,017.40 / $22,357.40 / $39,371.40
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,836.68 / $16,836.68 / $16,836.68
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,746.00 / $19,081.59 / $27,739.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,961.34 / $17,384.08 / $29,122.39
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,524.33 / $14,658.60 / $17,413.38
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,409.00 / $17,168.49 / $25,959.98
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,117.34 / $18,411.82 / $25,007.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $14,003.84 / $36,480.37