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Tennessee 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
$22,542.20 / $38,054.90 / $66,965.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40,611.78 / $60,498.47 / $98,595.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,505.63 / $35,077.33 / $47,331.28
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32,967.90 / $69,337.25 / $81,373.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,787.00 / $33,164.53 / $47,371.74