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Washington rates for MS-DRG 495

Local excision & removal int fix devices exc hip & femur w MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56,307.10 / $89,808.60 / $158,153.00
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,769.87 / $74,514.03 / $109,212.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52,065.05 / $69,830.98 / $116,983.21
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34,490.60 / $59,999.40 / $63,733.25
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,958.64 / $65,579.67 / $102,207.45
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51,644.49 / $72,340.24 / $98,350.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $56,252.74 / $153,700.67