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Utah 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
$26,240.30 / $31,480.55 / $38,191.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27,640.43 / $45,729.02 / $55,008.10
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,424.16 / $26,107.51 / $39,136.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $3,775.00 / $17,895.03