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Washington rates for MS-DRG 673

Other Kidney And Urinary Tract Procedures With Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65,250.80 / $104,074.00 / $183,274.00
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,916.49 / $82,702.70 / $119,654.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60,334.98 / $80,922.82 / $135,564.62
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40,380.73 / $58,961.10 / $74,000.89
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,147.09 / $74,737.03 / $106,250.94
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53,328.86 / $79,958.16 / $109,161.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $65,187.82 / $178,114.23