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Washington rates for MS-DRG 155

Other Ear, Nose, Mouth And Throat Diagnoses With Cc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,233.20 / $22,701.70 / $39,977.69
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,746.00 / $19,695.91 / $28,867.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,160.94 / $17,651.79 / $29,570.87
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,282.79 / $15,006.75 / $18,447.22
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,409.00 / $17,392.03 / $27,015.96
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,650.92 / $19,121.32 / $25,996.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $14,219.50 / $37,042.18