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Alaska rates for MS-DRG 257

Upper limb & toe amputation for circ system disorders w/o CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,027.80 / $28,750.00 / $58,412.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43,945.76 / $43,945.76 / $46,691.55
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,500.00 / $16,983.71 / $21,880.09
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,500.00 / $13,869.05 / $46,691.55