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Maine rates for MS-DRG 255

Upper limb and toe amputation for circulatory system disorders with MCC

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,664.00 / $47,573.62 / $60,991.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32,908.28 / $41,658.65 / $81,558.59