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Washington rates for MS-DRG 965

Other multiple significant trauma w/o CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,606.00 / $23,296.20 / $41,024.60
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,600.00 / $19,518.38 / $28,381.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,505.58 / $18,114.03 / $30,345.23
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,382.68 / $15,512.50 / $20,420.40
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,600.00 / $16,998.96 / $27,053.80
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,621.45 / $11,621.45 / $11,621.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $14,591.86 / $38,012.19