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Washington rates for MS-DRG 153

Otitis Media And Uri Without Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,302.69 / $18,197.01 / $30,902.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,715.19 / $14,454.40 / $23,988.33
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,549.93 / $12,022.64 / $15,848.93
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,772.37 / $15,135.61 / $22,387.21
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,964.78 / $14,791.08 / $19,952.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,623.41 / $16,595.87 / $22,908.68