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North Dakota 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
$33,717.50 / $33,717.50 / $33,717.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51,115.73 / $58,783.09 / $95,361.18
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,613.22 / $19,960.75 / $46,290.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,613.22 / $19,960.75 / $47,215.29