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North Carolina 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
$789.00 / $7,142.72 / $38,594.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,200.00 / $30,539.96 / $48,369.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,623.83 / $39,462.96 / $53,362.66
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29,110.34 / $43,813.87 / $63,264.82