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Washington rates for MS-DRG 377

Gastrointestinal Hemorrhage With Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,388.80 / $45,279.60 / $79,737.39
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,815.40 / $37,556.91 / $54,596.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,250.08 / $35,207.28 / $58,980.42
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,639.84 / $29,719.80 / $35,233.67
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,270.14 / $33,799.07 / $51,095.16
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25,817.92 / $36,320.25 / $49,331.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,026.16 / $40,981.93 / $57,479.63