go back

Washington rates for MS-DRG 639

Diabetes Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,232.93 / $15,488.17 / $25,703.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,912.51 / $12,302.69 / $20,417.38
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,317.64 / $10,471.29 / $13,489.63
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,511.38 / $13,489.63 / $19,498.45
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,332.54 / $12,589.25 / $16,982.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,786.30 / $13,803.84 / $19,498.45