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Missouri 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
$23,077.69 / $31,462.50 / $52,235.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,197.75 / $27,574.98 / $46,181.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,837.66 / $33,558.35 / $48,252.82
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,214.07 / $32,236.63 / $81,373.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,214.07 / $32,166.50 / $45,208.42