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Indiana 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
$30,294.00 / $50,252.60 / $67,435.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,104.95 / $40,854.03 / $65,368.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,875.42 / $40,461.00 / $92,793.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29,358.50 / $39,856.78 / $57,157.91