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Washington rates for MS-DRG 496

Local excision and removal of internal fixation devices except hip and femur with CC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,014.60 / $44,682.60 / $78,686.10
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,069.97 / $41,551.37 / $60,610.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25,904.00 / $34,743.11 / $58,202.83
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,608.39 / $33,668.25 / $40,559.21
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,072.65 / $36,753.15 / $56,723.25
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,661.74 / $40,147.50 / $54,582.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $27,987.51 / $76,470.92