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Washington rates for MS-DRG 397

Appendix Procedures With Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37,192.80 / $59,321.70 / $104,466.00
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,600.00 / $46,801.86 / $68,512.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34,390.76 / $46,125.77 / $77,271.45
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,429.64 / $31,901.72 / $43,857.06
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,077.86 / $45,617.21 / $65,983.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $37,156.87 / $101,524.60