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Georgia 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
$32,263.60 / $42,821.20 / $74,774.60
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,939.30 / $36,367.08 / $71,128.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,189.00 / $41,003.18 / $66,760.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,496.00 / $44,043.15 / $75,653.98