go back

Washington rates for MS-DRG 189

Pulmonary Edema And Respiratory Failure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,185.80 / $30,600.90 / $53,888.10
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25,706.26 / $25,706.26 / $25,706.26
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,353.00 / $25,844.90 / $37,571.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,740.34 / $23,793.80 / $39,860.18
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,975.43 / $20,373.09 / $25,071.77
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,098.05 / $23,053.39 / $35,161.28
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,766.66 / $24,886.40 / $33,834.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $19,167.23 / $49,931.16