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Utah 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
$54,884.00 / $70,759.10 / $101,734.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57,812.44 / $94,190.92 / $108,264.81
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38,229.90 / $51,383.78 / $77,026.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $55,951.91 / $92,564.00