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Washington rates for MS-DRG 256

Upper Limb And Toe Amputation For Circulatory System Disorders With Cc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,183.83 / $42,657.95 / $70,794.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,547.09 / $33,113.11 / $56,234.13
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,908.68 / $28,183.83 / $36,307.81
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,908.68 / $36,307.81 / $52,480.75
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,547.09 / $33,884.42 / $45,708.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,182.57 / $38,018.94 / $53,703.18