go back

Oregon 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
$33,717.50 / $64,225.10 / $77,550.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,397.00 / $57,994.10 / $96,077.88
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45,235.92 / $51,795.04 / $59,558.96
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,820.46 / $43,718.40 / $52,596.23
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32,682.52 / $56,778.05 / $85,232.49
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36,434.76 / $51,160.42 / $63,542.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $56,664.28 / $81,528.92