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Washington rates for MS-DRG 241

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,499.70 / $34,291.60 / $60,387.50
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,954.65 / $29,243.33 / $43,664.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,879.98 / $26,663.54 / $44,667.67
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,929.08 / $26,274.60 / $30,909.73
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,287.66 / $27,468.77 / $40,052.41
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,102.87 / $29,787.31 / $40,535.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $21,478.97 / $58,687.48