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Alaska rates for MS-DRG 239

Amputation for circ sys disorders exc upper limb & toe w MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67,718.70 / $129,554.00 / $263,219.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$198,029.52 / $198,029.52 / $210,402.68
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,500.00 / $76,532.44 / $123,555.42
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,500.00 / $78,317.58 / $210,402.68