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Washington rates for MS-DRG 675

Other Kidney And Urinary Tract Procedures Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,915.35 / $40,738.03 / $67,608.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,442.29 / $32,359.37 / $53,703.18
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,892.96 / $29,512.09 / $38,904.51
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,892.96 / $33,113.11 / $48,977.88
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,442.29 / $32,359.37 / $43,651.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,589.25 / $37,153.52 / $51,286.14