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Washington rates for MS-DRG 258

Cardiac pacemaker device replacement w MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48,796.80 / $77,829.80 / $137,058.00
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,702.73 / $56,821.01 / $83,174.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45,120.56 / $60,516.85 / $101,379.86
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33,773.53 / $50,468.55 / $63,345.37
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,862.83 / $51,871.85 / $77,303.44
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39,060.72 / $55,380.57 / $75,317.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $48,749.68 / $133,199.90