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Michigan 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
$13,803.84 / $22,387.21 / $29,512.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,302.68 / $38,018.94 / $47,863.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,915.35 / $26,915.35 / $26,915.35
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,125.38 / $20,892.96 / $28,183.83
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,915.35 / $26,915.35 / $26,915.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,302.69 / $19,498.45 / $30,902.95