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Washington rates for MS-DRG 667

Prostatectomy w/o CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,197.01 / $27,542.29 / $45,708.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,848.93 / $21,877.62 / $36,307.81
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,803.84 / $17,378.01 / $21,877.62
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,803.84 / $21,877.62 / $32,359.37
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,488.17 / $20,892.96 / $28,840.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,511.38 / $24,547.09 / $34,673.69