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Wisconsin 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
$28,125.60 / $28,125.60 / $33,334.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,048.64 / $34,247.26 / $51,231.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,003.25 / $28,471.39 / $48,440.77
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,580.61 / $33,021.64 / $54,051.67
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.64 / $19,542.00 / $27,920.81
Security Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,419.73 / $32,623.98 / $38,341.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,136.30 / $34,798.24 / $43,866.02