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Louisiana 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
$17,958.20 / $24,779.40 / $41,471.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,272.00 / $28,173.60 / $44,221.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,380.02 / $27,877.89 / $46,751.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,062.00 / $28,428.04 / $50,029.13