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Alaska rates for MS-DRG 024

Amputation for Circulatory System Disorders Except Upper Limb and Toe with CC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53,824.60 / $102,973.00 / $209,213.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$157,399.21 / $157,399.21 / $167,233.73
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,500.00 / $60,830.05 / $93,255.94
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,500.00 / $59,111.77 / $167,233.73