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Washington rates for MS-DRG 640

Misc disorders of nutrition, metabolism, fluids/electrolytes w MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,741.90 / $33,082.80 / $58,258.90
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,054.94 / $22,578.05 / $26,659.96
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,426.91 / $27,590.27 / $40,108.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,179.22 / $25,723.66 / $43,093.13
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,433.51 / $20,308.20 / $25,178.19
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,746.00 / $24,741.17 / $37,535.81
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,966.50 / $26,567.04 / $36,119.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $20,721.83 / $53,980.95