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Utah rates for MS-DRG 474

Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60,229.40 / $77,650.80 / $103,871.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63,443.09 / $104,961.83 / $127,715.29
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45,098.14 / $60,615.21 / $90,864.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $3,775.00 / $41,074.47