go back

Ohio 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
$23,640.00 / $38,189.80 / $52,844.80
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,306.15 / $34,140.08 / $51,722.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,810.59 / $35,311.66 / $54,697.88
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,760.54 / $33,935.99 / $51,763.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,403.00 / $41,116.47 / $60,011.76