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Washington rates for MS-DRG 616

Amputat of lower limb for endocrine, nutrit, & metabol dis w MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54,159.30 / $86,382.90 / $152,120.00
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32,387.25 / $82,135.12 / $120,201.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50,079.06 / $67,167.32 / $112,520.96
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46,329.28 / $66,204.41 / $83,114.21
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,753.17 / $71,999.22 / $112,952.76
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57,073.99 / $79,945.53 / $108,690.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $54,107.01 / $147,837.85