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Idaho rates for MS-DRG 257

Upper limb & toe amputation for circ system disorders w/o CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,611.36 / $9,611.36 / $9,611.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,926.92 / $38,243.37 / $39,952.68
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,796.15 / $22,425.46 / $24,148.77
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,764.00 / $12,522.28 / $20,717.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,162.28 / $14,198.60 / $20,551.93