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Washington rates for MS-DRG 113

Orbital Procedures With Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38,904.51 / $58,884.37 / $97,723.72
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45,708.82 / $45,708.82 / $45,708.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33,884.42 / $46,773.51 / $77,624.71
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30,199.52 / $38,018.94 / $47,863.01
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32,359.37 / $47,863.01 / $70,794.58
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37,153.52 / $48,977.88 / $67,608.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,197.01 / $52,480.75 / $74,131.02