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New Jersey rates for MS-DRG 617

Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With Cc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,184.20 / $41,941.50 / $54,595.90
AmeriHealth
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89,428.85 / $89,428.85 / $89,428.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,126.87 / $41,880.00 / $56,726.20
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,817.00 / $4,817.00 / $4,817.00
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,458.00 / $34,356.00 / $55,429.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,098.00 / $19,347.00 / $51,734.37