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Utah 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
$23,821.50 / $30,711.90 / $35,010.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25,092.60 / $41,513.82 / $48,233.19
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,031.84 / $22,892.05 / $34,316.06
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $3,775.00 / $16,245.51