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Washington rates for MS-DRG 476

Amputation For Musculoskeletal System And Connective Tissue Disorders Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,328.50 / $29,233.60 / $51,480.30
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,497.16 / $24,494.89 / $35,890.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,947.66 / $22,730.65 / $38,079.15
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,379.66 / $19,504.59 / $24,002.96
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,600.00 / $21,665.53 / $33,588.73
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,972.07 / $23,773.38 / $32,321.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $18,310.80 / $50,031.04