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Utah rates for MS-DRG 255

Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc

Facilitymedian $46,774 · 10th–90th $37,154$58,8840%20%10th90th$46,774$2.0K$5.0K$10.0K$20.0K$50.0K

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
$38,904.51 / $50,118.72 / $58,884.37
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$39,810.72 / $56,234.13 / $79,432.82
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30,199.52 / $43,651.58 / $54,954.09
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,202.26 / $34,673.69 / $44,668.36