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Washington rates for MS-DRG 793

Full term neonate w major problems

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,426.00 / $101,883.00 / $172,709.00
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53,963.14 / $53,963.14 / $53,963.14
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,300.00 / $19,770.00 / $67,580.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,290.00 / $75,339.46 / $125,195.28
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,200.00 / $58,930.20 / $73,817.85
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,175.00 / $24,220.00 / $66,927.87
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,800.00 / $17,135.00 / $25,865.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,200.00 / $27,581.90 / $110,023.24