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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
$30,199.52 / $45,708.82 / $75,857.76
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,302.68 / $26,302.68 / $26,302.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,302.68 / $36,307.81 / $60,255.96
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,547.09 / $30,902.95 / $39,810.72
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,547.09 / $38,904.51 / $57,543.99
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,915.35 / $36,307.81 / $48,977.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,125.38 / $40,738.03 / $57,543.99