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Tennessee 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
$29,144.20 / $49,200.20 / $86,578.20
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44,518.27 / $44,518.27 / $48,650.79
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27,499.00 / $41,257.94 / $66,659.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,511.21 / $44,598.72 / $61,193.41
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102,422.50 / $102,422.50 / $120,201.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,787.00 / $42,877.58 / $61,245.72