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California rates for MS-DRG 476

Amputation For Musculoskeletal System And Connective Tissue Disorders Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,135.61 / $27,542.29 / $51,286.14
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,232.93 / $29,512.09 / $50,118.72
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $26,915.35 / $41,686.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,218.10 / $23,988.33 / $42,657.95
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42,657.95 / $42,657.95 / $42,657.95
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,595.87 / $26,915.35 / $47,863.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,754.40 / $22,908.68 / $46,773.51