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Washington rates for MS-DRG 152

Otitis media & URI w MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,359.59 / $29,283.10 / $51,567.60
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,187.04 / $24,271.23 / $35,292.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,976.39 / $22,769.17 / $38,143.68
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,043.76 / $17,828.25 / $22,746.90
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,600.00 / $21,138.33 / $33,641.58
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,135.03 / $23,898.89 / $32,409.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $18,341.83 / $47,780.98