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Washington rates for MS-DRG 255

Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc

Facilitymedian $66,069 · 10th–90th $39,811$112,2020%10%10th90th$66,069$5.0K$10.0K$20.0K$50.0K$100.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$44,668.36 / $69,183.10 / $144,543.98
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28,183.83 / $48,977.88 / $67,608.30
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38,904.51 / $57,543.99 / $89,125.09
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28,840.32 / $36,307.81 / $44,668.36
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$35,481.34 / $48,977.88 / $75,857.76
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28,183.83 / $52,480.75 / $70,794.58
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23,442.29 / $53,703.18 / $77,624.71