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Washington rates for MS-DRG 870

Septicemia or severe sepsis w MV >96 hours

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107,340.00 / $171,205.00 / $301,493.00
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53,563.35 / $146,109.67 / $212,401.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99,253.45 / $133,121.26 / $223,009.23
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67,692.03 / $97,799.02 / $99,999.00
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34,480.62 / $129,592.64 / $198,778.25
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100,440.82 / $140,690.98 / $191,277.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $107,236.58 / $279,354.21