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Washington rates for MS-DRG 622

Skin grafts & wound debrid for endoc, nutrit & metab dis w MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55,274.40 / $88,161.40 / $155,252.00
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37,980.00 / $79,521.24 / $116,376.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51,110.11 / $68,550.19 / $114,837.59
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41,383.23 / $61,453.30 / $74,241.05
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,519.04 / $69,746.98 / $109,182.62
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55,168.98 / $77,277.12 / $105,062.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $55,220.99 / $150,881.60