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Washington rates for MS-DRG 257

Upper limb & toe amputation for circ system disorders w/o CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,961.90 / $27,053.80 / $47,641.80
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,592.27 / $19,488.02 / $29,253.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,683.99 / $21,035.77 / $35,239.83
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,356.78 / $18,808.12 / $23,145.86
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,600.00 / $16,789.52 / $27,543.85
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,291.21 / $19,592.07 / $26,861.06
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,224.90 / $10,491.72 / $24,486.03