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Washington rates for MS-DRG 658

Kidney And Ureter Procedures For Neoplasm Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,099.50 / $38,438.10 / $67,689.50
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,312.95 / $31,055.83 / $45,146.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,283.85 / $29,887.67 / $50,068.83
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,904.09 / $26,100.22 / $32,119.74
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,781.68 / $27,948.47 / $42,250.62
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,348.85 / $30,043.81 / $40,806.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,755.80 / $33,916.14 / $48,794.80