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Idaho 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
$25,084.40 / $25,084.40 / $25,084.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75,495.49 / $99,810.26 / $104,271.29
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,419.28 / $55,222.39 / $58,527.52
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,764.00 / $35,457.72 / $58,729.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29,132.11 / $37,056.50 / $53,637.86