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Washington rates for MS-DRG 921

Complications Of Treatment Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,690.90 / $17,051.70 / $30,028.00
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,066.00 / $14,519.12 / $21,280.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,885.42 / $13,258.58 / $22,211.23
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,127.70 / $11,848.40 / $14,581.01
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,236.24 / $12,809.30 / $19,915.21
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,062.96 / $14,095.56 / $19,163.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $10,680.53 / $27,823.06