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Washington rates for MS-DRG 142

Major head and neck procedures without CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,792.10 / $39,542.80 / $69,635.00
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,974.86 / $33,631.50 / $47,116.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,924.30 / $30,746.66 / $51,507.85
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,737.29 / $27,286.70 / $35,312.19
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,807.66 / $29,320.25 / $44,390.94
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,352.68 / $31,744.32 / $42,898.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $24,768.15 / $67,674.59