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Washington rates for MS-DRG 125

Other disorders of the eye w/o MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,589.25 / $19,054.61 / $31,622.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,964.78 / $15,135.61 / $25,118.86
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,964.78 / $14,125.38 / $18,620.87
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,220.18 / $17,782.79 / $25,703.96
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,748.98 / $16,595.87 / $22,387.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,888.44 / $17,378.01 / $23,988.33