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Washington rates for MS-DRG 872

Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,982.44 / $25,703.96 / $42,657.95
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,715.19 / $13,489.63 / $18,197.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,791.08 / $19,952.62 / $33,884.42
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,803.84 / $17,378.01 / $22,387.21
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,803.84 / $21,877.62 / $32,359.37
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,488.17 / $20,892.96 / $28,183.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,943.28 / $22,908.68 / $31,622.78