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Washington rates for MS-DRG 264

Skn Grft/Debrid,Skn Ulcr,Cellulit W/O Cc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51,879.50 / $82,746.70 / $145,717.00
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,806.32 / $68,993.27 / $102,300.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,971.02 / $64,339.96 / $107,784.46
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36,864.53 / $53,740.36 / $66,134.55
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,809.81 / $64,356.53 / $93,211.64
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,098.99 / $68,951.33 / $93,830.85
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $51,829.41 / $141,614.72