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Oklahoma 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
$17,123.09 / $31,365.40 / $44,410.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,745.43 / $28,543.62 / $45,612.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,533.09 / $26,990.18 / $50,198.61
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,117.00 / $26,040.70 / $59,359.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,308.00 / $26,040.70 / $52,750.35