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Washington rates for MS-DRG 847

Chemotherapy w/o acute leukemia as secondary diagnosis w CC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,316.30 / $32,404.10 / $57,063.70
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,152.17 / $25,437.92 / $37,670.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,785.75 / $25,195.93 / $42,209.07
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,437.15 / $22,045.65 / $25,900.10
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,746.00 / $23,493.39 / $34,607.60
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,486.90 / $25,083.62 / $34,113.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $20,296.72 / $52,873.52