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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
$15,848.93 / $24,547.09 / $67,608.30
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44,668.36 / $64,565.42 / $100,000.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,892.96 / $33,113.11 / $43,651.58
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97,723.72 / $97,723.72 / $97,723.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,951.21 / $33,884.42 / $52,480.75