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Florida 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
$32,935.30 / $56,219.20 / $91,379.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,136.58 / $44,668.94 / $70,469.58
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,073.89 / $37,813.30 / $71,152.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32,730.25 / $50,832.50 / $67,669.67