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Washington rates for MS-DRG 390

Gastrointestinal Obstruction Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,912.51 / $13,489.63 / $22,387.21
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,549.93 / $9,549.93 / $9,549.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,762.47 / $10,715.19 / $17,782.79
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,413.10 / $10,000.00 / $12,882.50
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,413.10 / $11,748.98 / $16,982.44
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,317.64 / $11,220.18 / $15,488.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,168.69 / $12,302.69 / $16,982.44