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Washington rates for MS-DRG 740

Uterine, adnexa proc for non-ovarian/adnexal malig w CC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,103.10 / $44,823.80 / $78,934.80
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,542.66 / $37,487.69 / $54,496.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25,985.86 / $34,852.90 / $58,386.74
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,721.18 / $29,726.40 / $35,379.60
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,215.69 / $33,736.76 / $51,000.98
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25,770.33 / $36,322.25 / $49,334.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $28,075.94 / $76,712.56