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Upper Limb and Toe Amputation, Circulatory (with CC)

Massachusetts rates for MS-DRG 256

Upper Limb and Toe Amputation for Circulatory System Disorders with CC

Rates data updated July 2026.

Facilitymedian $26,303 · 10th–90th $12,882$44,6680%10%10th90th$26,303$200.0$1.0K$5.0K$20.0K

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
Setting
Facility
Modifier
Global
Typical Low
$15,848.93
Median
$28,183.83
Typical High
$44,668.36
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$6,165.95
Median
$24,547.09
Typical High
$64,565.42
Cigna
Setting
Facility
Modifier
Global
Typical Low
$15,135.61
Median
$25,118.86
Typical High
$38,018.94
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$213.80
Median
$239.88
Typical High
$37,153.52
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$6,165.95
Median
$23,988.33
Typical High
$64,565.42
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$6,165.95
Median
$24,547.09
Typical High
$64,565.42
United
Setting
Facility
Modifier
Global
Typical Low
$9,772.37
Median
$20,417.38
Typical High
$50,118.72