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Utah 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
$48,928.20 / $63,080.70 / $91,846.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51,538.92 / $85,267.28 / $110,067.47
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38,866.44 / $52,239.34 / $78,308.77
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $3,775.00 / $33,367.44