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Washington rates for MS-DRG 617

Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With Cc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29,045.80 / $46,327.30 / $81,582.50
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,437.75 / $41,048.43 / $60,072.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,857.51 / $36,021.98 / $60,345.23
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,039.39 / $34,117.85 / $43,126.40
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,692.78 / $35,994.94 / $56,637.63
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,618.47 / $40,086.90 / $54,500.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $29,017.70 / $79,285.75