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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
$26,368.40 / $42,057.00 / $74,062.39
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,678.19 / $34,397.62 / $50,211.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,381.84 / $32,701.55 / $54,782.74
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,974.40 / $27,951.40 / $35,833.83
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,305.41 / $31,314.66 / $46,797.04
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,646.11 / $33,459.72 / $45,527.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $26,342.92 / $71,977.38