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Virginia 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
$38,904.51 / $66,069.34 / $70,794.58
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43,651.58 / $64,565.42 / $91,201.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33,113.11 / $52,480.75 / $79,432.82
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,892.96 / $53,703.18 / $72,443.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,073.80 / $63,095.73 / $93,325.43