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Washington rates for MS-DRG 335

Peritoneal adhesiolysis w MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55,456.10 / $88,451.20 / $155,763.00
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40,620.00 / $74,996.35 / $109,023.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51,278.12 / $68,775.53 / $115,215.09
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44,576.68 / $64,572.75 / $84,146.02
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,243.69 / $67,492.42 / $102,030.50
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51,555.08 / $72,380.82 / $98,310.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $55,402.51 / $151,377.59