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Washington rates for MS-DRG 583

Mastectomy For Malignancy Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,779.90 / $42,713.40 / $75,218.30
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,788.68 / $32,426.90 / $47,670.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,762.38 / $33,211.94 / $55,637.77
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,527.88 / $25,434.75 / $29,135.25
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,409.00 / $29,989.04 / $43,727.23
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,947.32 / $32,407.19 / $44,100.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $26,754.07 / $73,100.75