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Alaska rates for MS-DRG 241

Amputation for circ sys disorders exc upper limb & toe w/o CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25,703.96 / $38,018.94 / $77,624.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56,234.13 / $56,234.13 / $58,884.37
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,302.68 / $26,302.68 / $26,302.68
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,302.69 / $21,379.62 / $37,153.52
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56,234.13 / $56,234.13 / $58,884.37