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Washington rates for MS-DRG 114

Orbital procedures w/o CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,012.10 / $33,513.80 / $59,017.90
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,120.51 / $25,256.58 / $36,763.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,429.08 / $26,058.78 / $43,654.55
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,662.86 / $21,375.22 / $26,305.01
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,600.00 / $22,021.34 / $35,046.90
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,763.79 / $24,882.36 / $33,760.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $20,991.80 / $57,356.38