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Washington rates for MS-DRG 497

Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,764.90 / $29,929.60 / $52,706.00
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,021.68 / $28,983.36 / $41,754.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,351.18 / $23,271.86 / $38,985.80
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,888.78 / $23,949.75 / $28,504.29
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,834.14 / $25,018.75 / $39,817.26
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,584.54 / $28,454.15 / $38,689.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,992.90 / $11,500.68 / $27,088.88