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Washington rates for MS-DRG 456

Spinal fus exc cerv w spinal curv/malig/infec or ext fus w MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130,505.00 / $208,152.00 / $366,556.00
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78,871.44 / $176,831.95 / $257,062.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120,672.82 / $161,849.48 / $271,135.70
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80,405.52 / $99,999.00 / $99,999.00
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55,851.66 / $157,761.54 / $240,575.08
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121,560.38 / $170,273.88 / $231,496.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $130,378.75 / $356,236.93