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Washington rates for MS-DRG 103

Headaches Without Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,987.70 / $20,715.20 / $36,479.40
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,746.00 / $17,671.87 / $25,689.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,009.27 / $16,107.14 / $26,983.22
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,591.71 / $13,686.75 / $16,126.91
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,409.00 / $15,838.38 / $24,042.10
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,148.25 / $17,016.48 / $23,134.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,874.39 / $18,278.16 / $25,631.76