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Washington rates for MS-DRG 499

Local excision & removal int fix devices of hip & femur w/o CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31,289.80 / $49,906.60 / $87,885.60
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,744.11 / $25,460.99 / $36,100.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,932.53 / $38,805.05 / $65,007.52
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,229.78 / $20,383.00 / $25,528.07
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,600.00 / $21,851.79 / $35,848.69
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,600.21 / $25,499.35 / $34,960.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $31,259.62 / $85,411.40