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Iowa rates for MS-DRG 256

Upper limb and toe amputation for circulatory system disorders with CC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,321.90 / $19,751.70 / $24,325.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,975.54 / $17,445.91 / $17,748.15
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.00 / $150.00 / $150.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,586.72 / $20,150.68 / $31,575.85
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,106.47 / $25,463.41 / $33,604.83