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Washington rates for MS-DRG 659

Kidney and ureter procedures for non-neoplasm with MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39,460.19 / $62,938.10 / $110,834.00
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45,348.33 / $45,348.33 / $45,348.33
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27,271.00 / $54,309.94 / $78,951.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36,487.32 / $48,937.73 / $81,982.14
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32,280.99 / $45,646.49 / $59,999.40
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,837.13 / $48,141.06 / $73,887.21
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37,409.61 / $52,295.78 / $71,098.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $39,422.06 / $107,713.83