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Utah 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
$31,928.10 / $41,163.30 / $49,599.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33,631.68 / $53,449.26 / $61,435.59
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,693.81 / $29,158.07 / $43,709.06
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $3,775.00 / $21,773.90