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Washington rates for MS-DRG 239

Amputation for circ sys disorders exc upper limb & toe w MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76,434.00 / $121,911.00 / $214,685.00
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44,394.48 / $100,837.05 / $149,322.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70,675.61 / $94,791.94 / $158,798.65
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53,228.77 / $79,464.00 / $95,491.83
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,313.53 / $93,124.89 / $137,186.07
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69,318.86 / $99,428.41 / $135,222.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $76,360.17 / $208,640.71