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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
$52,480.75 / $70,794.58 / $95,499.26
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45,708.82 / $63,095.73 / $77,624.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43,651.58 / $64,565.42 / $87,096.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,964.78 / $63,095.73 / $81,283.05