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Washington rates for MS-DRG 475

Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35,341.60 / $56,369.10 / $99,266.00
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46,023.08 / $46,023.08 / $46,023.08
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,091.04 / $44,991.52 / $65,404.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32,679.05 / $43,829.98 / $73,425.46
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,654.64 / $36,238.94 / $44,230.15
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,935.71 / $40,184.62 / $61,209.74
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30,928.72 / $43,322.94 / $58,899.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $35,307.49 / $96,471.47