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Washington rates for MS-DRG 791

Prematurity With Major Problems

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63,036.30 / $100,541.00 / $177,054.00
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,300.00 / $61,936.74 / $107,587.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,290.00 / $73,341.06 / $121,874.44
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,200.00 / $57,367.80 / $71,860.23
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,746.00 / $57,072.77 / $93,654.33
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,900.00 / $69,960.03 / $105,987.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,200.00 / $26,850.29 / $107,104.83