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Utah 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
$39,992.50 / $51,560.40 / $62,602.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42,126.43 / $69,695.00 / $82,933.63
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29,285.08 / $39,361.30 / $59,004.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $3,775.00 / $27,273.58