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Virginia 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
$19,002.90 / $29,429.70 / $33,289.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,877.98 / $28,577.80 / $40,308.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,547.80 / $27,322.61 / $37,443.79
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,989.00 / $25,651.00 / $35,187.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,274.00 / $27,446.55 / $45,138.67