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Idaho 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
$12,182.70 / $12,182.70 / $12,182.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36,665.83 / $48,474.77 / $50,641.35
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,462.61 / $28,425.03 / $33,002.49
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,764.00 / $17,826.91 / $29,142.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,148.57 / $17,997.20 / $26,050.25