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Washington rates for MS-DRG 975

HIV with major related condition with CC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,111.30 / $32,077.10 / $56,487.90
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,899.00 / $28,599.31 / $42,138.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,596.20 / $24,941.70 / $41,783.18
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,577.14 / $22,143.00 / $27,945.22
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,796.55 / $26,279.84 / $38,908.58
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,660.15 / $28,058.44 / $38,159.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $20,091.93 / $52,340.02