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Washington rates for MS-DRG 871

Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,677.00 / $47,464.60 / $80,460.30
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,594.13 / $28,201.26 / $40,114.57
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,085.53 / $41,251.96 / $60,461.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27,894.30 / $37,412.55 / $62,674.76
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,887.53 / $30,891.30 / $37,954.89
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,793.29 / $36,282.93 / $56,583.40
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,591.07 / $40,048.51 / $54,448.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $30,137.89 / $78,510.02