go back

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
$28,183.83 / $33,113.11 / $34,673.69
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,417.38 / $35,481.34 / $51,286.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,877.62 / $29,512.09 / $52,480.75
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,547.09 / $28,183.83 / $35,481.34
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,417.38 / $33,113.11 / $53,703.18
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.42 / $21,379.62 / $27,542.29
Security Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30,902.95 / $38,018.94 / $39,810.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,379.62 / $35,481.34 / $47,863.01