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Nationwide rates for MS-DRG 255

Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc

Facilitymedian $30,200 · 10th–90th $10,233–$72,4440%5%10%10th90th$30,200$2.0$20.0$200.0$2.0K$20.0K$200.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25,118.86 / $45,708.82 / $79,432.82
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22,908.68 / $45,708.82 / $91,201.08
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,709.64 / $21,877.62 / $64,565.42
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14,454.40 / $34,673.69 / $70,794.58

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