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Washington rates for MS-DRG 699

Other kidney and urinary tract diagnoses with CC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,763.00 / $25,141.50 / $44,274.30
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,247.75 / $18,247.75 / $18,247.75
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,730.16 / $21,414.34 / $31,130.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,575.40 / $19,548.90 / $32,748.98
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,991.05 / $17,459.00 / $21,511.82
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,600.00 / $18,997.84 / $29,133.63
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,720.96 / $20,620.16 / $28,034.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,343.29 / $22,183.84 / $31,108.74