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Utah 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
$69,051.50 / $89,024.60 / $105,918.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72,735.88 / $120,336.06 / $143,440.84
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50,651.07 / $68,078.74 / $102,052.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $3,775.00 / $47,090.83