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Washington rates for MS-DRG 563

Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Without Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,907.10 / $22,181.50 / $39,061.69
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,746.00 / $18,787.90 / $27,312.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,859.38 / $17,247.33 / $28,893.31
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,434.95 / $14,391.30 / $17,145.37
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,409.00 / $16,648.74 / $25,560.42
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,915.45 / $18,091.12 / $24,595.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $13,893.68 / $36,193.42