go back

Maine rates for MS-DRG 241

Amputation for circ sys disorders exc upper limb & toe w/o CC/MCC

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,488.17 / $27,542.29 / $32,359.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,782.79 / $21,379.62 / $41,686.94
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25,118.86 / $25,118.86 / $25,118.86