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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
$14,105.86 / $19,804.30 / $32,879.80
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,508.00 / $13,508.00 / $19,104.07
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,779.68 / $17,979.68 / $29,893.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,187.84 / $21,648.23 / $30,373.12
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,206.08 / $20,291.59 / $52,674.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,206.08 / $20,247.46 / $28,456.80