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Washington rates for MS-DRG 240

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44,268.30 / $70,606.89 / $124,339.00
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,310.63 / $58,931.40 / $86,334.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40,933.18 / $54,900.63 / $91,971.38
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30,557.36 / $46,015.20 / $54,819.57
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,606.49 / $53,842.88 / $80,174.57
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40,511.47 / $57,486.83 / $78,182.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $44,225.51 / $120,838.40