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Illinois 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
$26,153.30 / $35,531.50 / $52,785.00
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34,028.64 / $34,028.64 / $38,205.46
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,802.18 / $31,538.10 / $47,253.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,689.98 / $31,355.50 / $56,582.43
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$171.03 / $325.16 / $532.39
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25,130.01 / $34,778.94 / $57,238.04