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Washington rates for MS-DRG 125

Other Disorders Of The Eye Without Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,923.90 / $19,018.40 / $33,491.40
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,746.00 / $16,729.95 / $24,480.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,025.61 / $14,787.83 / $24,773.07
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,846.07 / $13,810.50 / $15,869.74
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,409.00 / $15,267.19 / $22,760.65
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,500.75 / $16,299.32 / $22,167.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $11,912.42 / $31,032.17