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Pennsylvania rates for MS-DRG 255

Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc

Facilitymedian $43,652 · 10th–90th $22,387–$63,0960%10%10th90th$43,652$2.0K$5.0K$10.0K$20.0K$50.0K$100.0K

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
$25,118.86 / $44,668.36 / $63,095.73
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$24,547.09 / $47,863.01 / $70,794.58
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$24,547.09 / $41,686.94 / $56,234.13
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$47,863.01 / $47,863.01 / $57,543.99
Geisinger
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19,952.62 / $44,668.36 / $53,703.18
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$47,863.01 / $47,863.01 / $109,647.82
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$24,547.09 / $42,657.95 / $61,659.50
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18,620.87 / $21,379.62 / $37,153.52
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,623.41 / $34,673.69 / $63,095.73