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Washington rates for MS-DRG 422

Hepatobiliary diagnostic procedures w/o CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,734.20 / $34,665.60 / $61,046.20
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,196.02 / $29,599.96 / $43,561.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,096.82 / $26,954.37 / $45,154.87
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,593.75 / $24,711.20 / $31,998.47
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,092.80 / $27,167.36 / $40,269.94
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,348.03 / $29,005.96 / $39,448.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $21,713.24 / $59,327.60