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New York 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
$20,324.90 / $46,996.80 / $80,800.60
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50,715.61 / $75,145.88 / $97,441.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46,850.74 / $66,994.73 / $98,344.51
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34,475.47 / $66,245.45 / $138,918.79
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46,850.74 / $72,941.20 / $98,886.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,114.00 / $60,106.16 / $92,739.31