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Illinois 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
$39,387.40 / $53,511.00 / $80,850.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29,316.98 / $47,506.33 / $70,286.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33,093.97 / $45,762.31 / $85,214.07
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.57 / $489.69 / $801.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37,846.21 / $52,377.67 / $86,201.43