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Wisconsin rates for MS-DRG 239

Amputation for circulatory system disorders except upper limb and toe with MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74,012.50 / $74,012.50 / $87,719.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54,887.09 / $89,304.23 / $133,593.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60,533.12 / $74,922.55 / $127,472.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54,157.94 / $86,896.55 / $142,237.13
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$807.42 / $50,958.32 / $72,807.17
Security Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61,629.08 / $85,850.10 / $100,895.39
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55,620.23 / $91,571.67 / $115,433.55