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Nebraska 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
$28,386.00 / $44,264.50 / $56,402.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,435.15 / $45,343.29 / $53,408.52
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,160.61 / $45,985.28 / $64,422.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43,697.88 / $50,163.55 / $64,422.00