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Washington rates for MS-DRG 113

Amput For Circ Disor Exc Uppr Limb & Toe

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36,512.60 / $58,236.70 / $102,555.00
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,383.56 / $49,496.26 / $70,180.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33,761.80 / $45,282.19 / $75,858.24
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25,049.91 / $36,819.69 / $47,999.75
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,067.68 / $42,478.68 / $69,687.89
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36,157.76 / $49,569.32 / $67,960.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $36,477.32 / $99,667.83