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Iowa 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
$27,401.90 / $33,159.90 / $40,839.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,820.35 / $29,288.89 / $29,796.28
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.00 / $150.00 / $150.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,167.59 / $33,829.73 / $53,010.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32,076.68 / $42,748.95 / $56,417.10