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Idaho rates for MS-DRG 239

Amputation for circulatory system disorders except upper limb and toe with MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43,311.00 / $43,311.00 / $43,311.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130,351.22 / $172,333.33 / $180,035.79
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79,639.25 / $92,744.34 / $101,054.22
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,764.00 / $60,671.43 / $100,490.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50,299.77 / $63,982.10 / $92,611.63