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Washington rates for MS-DRG 839

Chemo w acute leukemia as sdx w/o CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,423.80 / $35,765.40 / $62,982.90
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,796.62 / $27,336.43 / $40,626.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,734.40 / $27,809.51 / $46,587.43
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,263.22 / $22,998.04 / $27,382.04
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,675.37 / $25,336.85 / $37,190.47
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,792.00 / $27,051.70 / $36,790.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,868.86 / $31,557.88 / $44,254.09