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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
$94,409.00 / $94,409.00 / $94,409.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43,341.82 / $72,988.95 / $74,251.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,306.00 / $10,063.00 / $38,499.99