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Utah 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
$16,558.20 / $21,347.70 / $24,335.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,441.72 / $28,816.97 / $33,122.76
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,696.13 / $15,896.13 / $23,565.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $3,775.00 / $11,292.15