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Washington rates for MS-DRG 915

Allergic Reactions With Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,115.20 / $41,653.19 / $73,351.39
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,505.36 / $36,911.62 / $54,048.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,147.78 / $32,387.62 / $54,256.82
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,536.52 / $28,041.75 / $33,961.46
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,576.03 / $32,373.48 / $50,629.96
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25,582.85 / $35,834.80 / $48,719.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $26,090.02 / $67,965.23