go back

Wisconsin 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
$25,533.00 / $25,533.00 / $30,261.70
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,456.24 / $30,029.30 / $44,922.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,882.86 / $25,846.96 / $43,975.61
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,683.54 / $29,977.78 / $49,069.31
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$271.50 / $17,135.16 / $25,038.93
Security Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,260.95 / $29,616.78 / $34,807.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,188.00 / $31,590.62 / $39,822.55