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Washington rates for MS-DRG 558

Tendonitis, Myositis And Bursitis Without Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,871.40 / $22,124.60 / $38,961.40
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,599.23 / $10,599.23 / $10,599.23
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,746.00 / $18,276.87 / $26,787.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,826.35 / $17,203.03 / $28,819.10
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,815.34 / $14,643.80 / $17,608.61
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,409.00 / $16,091.73 / $25,069.54
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,667.41 / $17,743.68 / $24,123.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $13,858.00 / $36,100.46