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Wisconsin 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
$42,865.80 / $42,865.80 / $50,804.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31,734.24 / $51,633.30 / $77,240.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35,058.96 / $43,392.88 / $73,827.95
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31,366.65 / $50,327.86 / $82,379.45
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$466.83 / $29,462.73 / $42,095.15
Security Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35,693.69 / $49,721.78 / $58,435.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32,213.56 / $53,035.55 / $66,855.63