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Washington rates for MS-DRG 515

Other musculoskelet sys & conn tiss O.R. proc w MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49,492.60 / $78,939.50 / $139,013.00
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29,851.14 / $65,716.59 / $96,173.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45,763.88 / $61,379.69 / $102,825.33
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33,450.30 / $52,041.00 / $60,009.46
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,422.91 / $57,604.59 / $90,229.21
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45,591.99 / $63,862.30 / $86,824.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $49,444.75 / $135,099.06