go back

Alaska rates for MS-DRG 240

Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39,220.60 / $75,033.70 / $152,448.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114,692.72 / $114,692.72 / $121,858.88
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,500.00 / $44,325.27 / $71,437.17
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,500.00 / $45,281.60 / $121,858.88