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Michigan 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
$29,530.20 / $43,064.90 / $69,907.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41,655.60 / $59,177.12 / $75,908.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34,675.39 / $60,330.20 / $80,317.22
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30,809.80 / $46,313.20 / $74,056.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36,031.76 / $61,614.76 / $93,610.73