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Upper Limb and Toe Amputation, Circulatory (with CC)

Utah rates for MS-DRG 256

Upper Limb and Toe Amputation for Circulatory System Disorders with CC

Rates data updated July 2026.

Facilitymedian $27,542 · 10th–90th $19,055$37,1540%10%20%10th90th$27,542$5.0K$10.0K$20.0K$50.0K$100.0K$200.0K

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
$22,387.21
Median
$28,183.83
Typical High
$37,153.52
Cigna
Setting
Facility
Modifier
Global
Typical Low
$25,118.86
Median
$35,481.34
Typical High
$50,118.72
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$19,498.45
Median
$27,542.29
Typical High
$34,673.69
Select Health
Setting
Facility
Modifier
Global
Typical Low
$13,803.84
Median
$15,135.61
Typical High
$37,153.52
United
Setting
Facility
Modifier
Global
Typical Low
$3,311.31
Median
$21,877.62
Typical High
$28,183.83