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Washington rates for MS-DRG 674

Other kidney & urinary tract procedures w CC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36,318.50 / $57,927.10 / $102,010.00
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,293.03 / $49,055.81 / $71,791.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33,582.30 / $45,041.44 / $75,454.92
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,541.63 / $40,329.30 / $47,615.40
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,036.77 / $43,001.32 / $67,987.99
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34,353.71 / $48,120.44 / $65,422.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $36,283.37 / $99,137.93