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New York rates for MS-DRG 255

Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc

Facilitymedian $67,608 · 10th–90th $25,704$104,7130%10%10th90th$67,608$2.0K$5.0K$10.0K$20.0K$50.0K$100.0K$200.0K

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
$21,379.62 / $56,234.13 / $104,712.85
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$57,543.99 / $85,113.80 / $109,647.82
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$47,863.01 / $75,857.76 / $97,723.72
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34,673.69 / $66,069.34 / $169,824.37
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14,454.40 / $56,234.13 / $93,325.43