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Alaska rates for MS-DRG 616

Amputat of lower limb for endocrine, nutrit, & metabol dis w MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,983.80 / $91,798.80 / $186,510.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140,319.03 / $140,319.03 / $149,086.35
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,500.00 / $54,229.07 / $94,813.73
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,500.00 / $60,099.20 / $149,086.35