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Washington rates for MS-DRG 204

Respiratory Signs And Symptoms

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,538.90 / $19,999.30 / $35,218.80
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,746.00 / $17,122.08 / $25,095.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,594.26 / $15,550.52 / $26,050.76
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,778.46 / $13,406.25 / $15,753.60
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,409.00 / $15,106.26 / $23,485.57
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,867.04 / $16,622.58 / $22,599.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $12,526.81 / $32,632.69