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Washington rates for MS-DRG 964

Other Multiple Significant Trauma With Cc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,801.30 / $37,962.50 / $66,852.00
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,746.00 / $31,487.98 / $46,653.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,008.14 / $29,517.88 / $49,449.34
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,368.83 / $24,642.75 / $29,365.50
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,100.07 / $27,947.23 / $42,838.54
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,592.61 / $17,592.61 / $17,592.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $23,778.29 / $61,943.09