go back

Washington rates for MS-DRG 121

Acute Major Eye Infections With Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,066.00 / $28,814.90 / $50,743.10
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,456.49 / $25,413.74 / $36,175.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,704.99 / $22,405.16 / $37,533.87
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,220.98 / $20,240.20 / $24,527.29
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,600.00 / $21,706.09 / $35,609.67
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,476.18 / $25,329.32 / $34,726.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,695.23 / $11,117.73 / $26,080.02