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Washington rates for MS-DRG 395

Other Digestive System Diagnoses Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,079.00 / $16,075.70 / $28,309.40
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,458.56 / $8,458.56 / $8,458.56
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,600.00 / $13,472.53 / $19,746.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,319.64 / $12,499.74 / $20,939.99
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,730.14 / $11,075.50 / $13,867.78
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,786.71 / $11,855.50 / $18,479.65
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,337.60 / $13,079.50 / $17,782.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $10,069.24 / $26,230.63