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Upper Limb and Toe Amputation, Circulatory (with CC)

Wisconsin rates for MS-DRG 256

Upper Limb and Toe Amputation for Circulatory System Disorders with CC

Rates data updated July 2026.

Facilitymedian $30,903 · 10th–90th $16,982$45,7090%10%20%10th90th$30,903$200.0$1.0K$5.0K$20.0K

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
$25,703.96
Median
$30,199.52
Typical High
$31,622.78
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$18,620.87
Median
$32,359.37
Typical High
$46,773.51
Cigna
Setting
Facility
Modifier
Global
Typical Low
$21,877.62
Median
$26,915.35
Typical High
$47,863.01
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$22,387.21
Median
$25,703.96
Typical High
$32,359.37
Medica
Setting
Facility
Modifier
Global
Typical Low
$18,620.87
Median
$30,199.52
Typical High
$48,977.88
Quartz
Setting
Facility
Modifier
Global
Typical Low
$281.84
Median
$19,498.45
Typical High
$25,118.86
Security Health
Setting
Facility
Modifier
Global
Typical Low
$28,183.83
Median
$34,673.69
Typical High
$36,307.81
United
Setting
Facility
Modifier
Global
Typical Low
$18,620.87
Median
$31,622.78
Typical High
$39,810.72