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Michigan 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
$16,184.40 / $23,602.30 / $38,313.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27,770.14 / $39,479.40 / $50,614.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,004.29 / $36,743.01 / $45,619.54
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,885.70 / $25,382.50 / $40,587.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,747.66 / $33,768.75 / $51,304.55