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Washington rates for MS-DRG 842

Lymphoma & non-acute leukemia w/o CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,691.50 / $25,027.60 / $44,073.70
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,728.73 / $22,188.58 / $32,520.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,509.34 / $19,460.30 / $32,600.56
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,878.98 / $18,649.00 / $23,104.75
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,624.71 / $19,593.98 / $30,435.06
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,378.55 / $21,541.28 / $29,286.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $15,676.36 / $40,837.33