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Indiana 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
$19,068.80 / $31,631.90 / $42,447.50
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,453.92 / $21,453.92 / $21,453.92
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,099.33 / $26,445.43 / $42,313.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,658.03 / $25,468.50 / $58,409.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,544.32 / $25,088.17 / $35,978.50