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Idaho rates for MS-DRG 616

Amputation of lower limb for endocrine, nutritional and metabolic disorders with MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30,689.10 / $30,689.10 / $30,689.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92,363.79 / $122,111.31 / $127,569.09
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57,327.00 / $66,760.49 / $82,199.50
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,764.00 / $49,954.09 / $82,739.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35,641.23 / $45,336.20 / $65,622.41