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Washington rates for MS-DRG 493

Lower extrem & humer proc except hip, foot, femur w CC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41,686.94 / $63,095.73 / $104,712.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36,307.81 / $50,118.72 / $83,176.38
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32,359.37 / $39,810.72 / $51,286.14
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32,359.37 / $51,286.14 / $75,857.76
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35,481.34 / $48,977.88 / $66,069.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,498.45 / $56,234.13 / $79,432.82