go back

Washington rates for MS-DRG 928

Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$111,392.00 / $177,668.00 / $312,873.00
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,746.00 / $142,853.12 / $207,713.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102,999.97 / $138,146.20 / $231,427.17
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65,353.88 / $95,271.55 / $99,999.00
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33,188.69 / $124,413.78 / $197,488.24
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70,084.16 / $70,084.16 / $70,084.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $55,229.79 / $189,266.03