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Washington rates for MS-DRG 157

Dental and oral diseases with MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,661.90 / $42,525.10 / $74,886.80
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,916.77 / $34,999.99 / $50,926.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,653.25 / $33,065.57 / $55,392.55
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,721.91 / $26,007.30 / $32,678.81
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,959.94 / $30,503.12 / $48,545.64
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,616.65 / $34,481.40 / $46,767.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $26,636.15 / $69,387.91