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Washington rates for MS-DRG 474

Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66,668.70 / $106,335.00 / $187,256.00
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38,084.12 / $90,264.14 / $132,953.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61,646.04 / $82,681.25 / $138,510.42
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44,249.80 / $67,255.64 / $79,383.66
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,487.55 / $82,916.56 / $122,801.91
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62,050.68 / $88,527.98 / $120,398.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $66,604.34 / $181,984.62