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Washington rates for MS-DRG 193

Simple pneumonia and pleurisy with MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,412.59 / $32,557.70 / $57,334.10
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,318.35 / $27,750.76 / $40,455.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,874.78 / $25,315.34 / $42,409.12
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,734.10 / $22,304.00 / $28,226.81
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,476.41 / $24,549.30 / $37,861.16
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,130.90 / $26,797.32 / $36,432.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $20,392.91 / $53,124.10