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Vermont rates for MS-DRG 255

Upper limb and toe amputation for circulatory system disorders with MCC

Insurance Carrier
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30,418.58 / $57,530.15 / $76,225.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32,360.71 / $42,670.17 / $74,542.64
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32,360.71 / $42,670.17 / $74,542.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95,593.16 / $95,593.16 / $95,593.16