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Washington rates for MS-DRG 461

Bilateral or multiple major joint procs of lower extremity w MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85,772.20 / $136,805.00 / $240,913.00
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42,741.87 / $134,602.38 / $190,851.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79,310.28 / $106,372.98 / $178,199.60
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65,039.63 / $85,019.88 / $99,999.00
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29,276.52 / $115,519.03 / $189,513.39
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98,329.59 / $134,801.75 / $184,815.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $85,689.35 / $234,131.02