go back

Washington rates for MS-DRG 024

Amputation for Circulatory System Disorders Except Upper Limb and Toe with CC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60,751.80 / $96,897.80 / $170,637.00
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32,583.48 / $79,481.45 / $115,543.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56,174.88 / $75,343.19 / $126,217.45
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43,899.22 / $64,993.50 / $78,754.71
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,625.62 / $70,816.28 / $108,132.35
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54,638.28 / $76,533.75 / $104,051.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32,155.82 / $87,700.89 / $140,898.81