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Minnesota 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
$6,303.00 / $27,486.50 / $44,890.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36,303.33 / $49,929.55 / $66,994.67
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29,744.23 / $40,846.73 / $57,260.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25,895.04 / $45,364.87 / $57,190.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25,895.04 / $45,742.51 / $59,982.08