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Washington rates for MS-DRG 909

Other O.R. Procedures For Injuries Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,386.20 / $32,515.60 / $57,260.00
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,593.88 / $22,593.88 / $22,593.88
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,984.48 / $27,539.67 / $39,444.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,850.37 / $25,282.60 / $42,354.27
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,115.63 / $22,621.50 / $28,911.26
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,078.24 / $23,625.30 / $37,697.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,559.20 / $26,952.64 / $36,762.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $20,366.54 / $55,647.98