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Kansas 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
$14,021.00 / $32,441.60 / $52,235.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,474.01 / $16,188.87 / $46,620.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,579.94 / $32,128.73 / $48,051.48
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,527.21 / $28,449.48 / $59,747.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,272.91 / $28,449.48 / $60,518.87