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Washington rates for MS-DRG 124

Other Disorders Of The Eye With Mcc Or Thrombolytic Agent

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,547.70 / $32,773.19 / $57,713.60
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,637.09 / $27,504.77 / $40,312.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,999.72 / $25,482.91 / $42,689.82
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,311.13 / $23,030.79 / $25,783.29
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,985.03 / $24,288.49 / $37,727.03
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,063.12 / $26,702.38 / $36,303.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,875.88 / $29,662.58 / $41,603.56