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Rhode Island 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
$40,738.03 / $63,095.73 / $63,095.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43,651.58 / $72,443.60 / $74,131.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,317.64 / $10,000.00 / $38,904.51