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Connecticut rates for MS-DRG 255

Upper limb and toe amputation for circulatory system disorders with MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,382.50 / $63,299.90 / $94,409.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36,270.37 / $53,892.05 / $73,262.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40,798.18 / $62,169.68 / $86,657.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,845.00 / $62,641.72 / $80,587.52