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Idaho rates for MS-DRG 255

Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,737.10 / $23,737.10 / $23,737.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71,440.64 / $94,449.46 / $98,670.89
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45,037.64 / $52,448.83 / $55,384.05
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,764.00 / $34,677.68 / $57,437.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27,567.43 / $35,066.19 / $50,756.98