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Alaska rates for MS-DRG 256

Upper Limb And Toe Amputation For Circulatory System Disorders With Cc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31,622.78 / $45,708.82 / $95,499.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67,608.30 / $67,608.30 / $72,443.60
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32,359.37 / $32,359.37 / $32,359.37
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,135.61 / $26,302.68 / $41,686.94
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67,608.30 / $67,608.30 / $72,443.60