go back

Washington rates for MS-DRG 963

Other Multiple Significant Trauma With Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42,455.90 / $67,716.20 / $119,248.00
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,746.00 / $57,360.15 / $84,489.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39,257.37 / $52,652.99 / $88,206.06
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30,750.99 / $45,043.35 / $55,166.94
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,573.87 / $50,607.54 / $78,036.92
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33,338.76 / $33,338.76 / $33,338.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $42,414.91 / $110,491.99