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Indiana rates for MS-DRG 475

Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25,557.90 / $42,396.30 / $56,892.50
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27,326.31 / $27,326.31 / $27,326.31
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,920.23 / $33,684.08 / $53,895.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,986.51 / $34,135.50 / $78,286.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,768.72 / $33,625.74 / $47,634.95