go back

Iowa 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
$25,703.96 / $31,622.78 / $38,018.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27,542.29 / $28,183.83 / $45,708.82
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $151.36 / $151.36
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,547.09 / $32,359.37 / $50,118.72
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,498.45 / $43,651.58 / $43,651.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25,703.96 / $35,481.34 / $53,703.18