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Washington, DC 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
$53,138.80 / $65,608.89 / $89,996.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45,607.64 / $58,663.06 / $110,312.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,138.05 / $49,273.41 / $86,435.49