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Wisconsin 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
$52,443.50 / $52,443.50 / $62,155.90
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42,116.90 / $68,526.45 / $102,511.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42,892.33 / $53,088.34 / $90,323.66
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38,375.04 / $61,572.84 / $100,785.86
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$619.55 / $39,102.21 / $55,867.65
Security Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43,668.91 / $60,831.35 / $71,492.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39,411.18 / $64,885.52 / $81,793.48