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Washington rates for MS-DRG 604

Trauma To The Skin, Subcutaneous Tissue And Breast With Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,861.70 / $36,463.90 / $64,213.00
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,342.03 / $31,339.50 / $45,933.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,139.36 / $28,352.65 / $47,497.31
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,941.48 / $24,385.35 / $28,834.69
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,703.34 / $27,677.11 / $42,986.95
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,720.91 / $30,425.24 / $41,364.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $22,839.63 / $59,497.87