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Missouri rates for MS-DRG 255

Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc

Facilitymedian $30,200 · 10th–90th $19,055$47,8630%10%10th90th$30,200$5.0K$10.0K$20.0K$50.0K$100.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26,302.68 / $29,512.09 / $38,018.94
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16,218.10 / $30,199.52 / $51,286.14
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$151,356.12 / $151,356.12 / $151,356.12
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26,915.35 / $32,359.37 / $47,863.01
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16,218.10 / $32,359.37 / $53,703.18
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20,417.38 / $28,840.32 / $43,651.58