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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
$25,490.90 / $40,657.50 / $71,597.89
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,171.34 / $33,010.31 / $48,381.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,570.50 / $31,613.36 / $52,959.77
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,794.31 / $27,647.89 / $33,716.78
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,043.56 / $29,158.11 / $45,278.71
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,878.92 / $32,047.30 / $43,570.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $25,466.32 / $69,582.23