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Utah rates for MS-DRG 241

Amputation For Circulatory System Disorders Except Upper Limb And Toe Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,423.09 / $25,041.30 / $31,416.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,459.50 / $33,848.72 / $42,998.93
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,183.55 / $20,407.81 / $30,592.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $3,775.00 / $13,245.94