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Missouri 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
$15,848.93 / $18,620.87 / $23,988.33
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,982.44 / $16,982.44 / $16,982.44
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,128.31 / $19,054.61 / $33,113.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151,356.12 / $151,356.12 / $151,356.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,982.44 / $22,387.21 / $31,622.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,232.93 / $20,417.38 / $33,884.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,022.64 / $19,054.61 / $28,840.32