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Alaska rates for MS-DRG 474

Amputation for musculoskeletal sys & conn tissue dis w MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59,066.90 / $113,002.00 / $229,590.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$172,729.12 / $172,729.12 / $183,521.48
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,500.00 / $66,754.60 / $110,011.30
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,500.00 / $69,732.42 / $183,521.48