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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 October 2026.

How much does Upper Limb and Toe Amputation, Circulatory (with CC) cost?

$28,840

Typical facility fee. In Wisconsin, October 2026.

Insurers have agreed to pay about $28,840 for this service. Most negotiated rates run $24,547 to $35,481.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 8 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $28,840 · 10th to 90th $16,982 to $42,658
$500$1K$2K$5K$10K$20K$50Kfacility $28,840

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$25,703.96
Median
$25,703.96
Typical High
$30,199.52
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$17,378.01
Median
$30,199.52
Typical High
$43,651.58
Cigna
Setting
Facility
Modifier
None
Typical Low
$23,988.33
Median
$29,512.09
Typical High
$43,651.58
DeanCare
Setting
Facility
Modifier
None
Typical Low
$22,387.21
Median
$25,703.96
Typical High
$32,359.37
Medica
Setting
Facility
Modifier
None
Typical Low
$23,988.33
Median
$30,902.95
Typical High
$41,686.94
Quartz
Setting
Facility
Modifier
None
Typical Low
$338.84
Median
$19,498.45
Typical High
$33,884.42
Security Health
Setting
Facility
Modifier
None
Typical Low
$28,183.83
Median
$30,902.95
Typical High
$36,307.81
United
Setting
Facility
Modifier
None
Typical Low
$19,054.61
Median
$32,359.37
Typical High
$39,810.72

Where Wisconsin sits

The same service costs 166.0 times more in Alaska than in Hawaii. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Wisconsin· 18th of 51

$28,840

AK $45,709HI $275

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.