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Ohio 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
$29,444.00 / $59,993.30 / $84,102.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36,518.91 / $58,516.36 / $88,653.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36,302.94 / $56,198.35 / $87,051.43
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33,040.30 / $54,008.97 / $82,380.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,403.00 / $66,488.44 / $93,482.19