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Arizona 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
$12,118.00 / $17,695.80 / $23,258.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,246.84 / $22,459.25 / $37,986.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,882.50 / $17,917.54 / $29,750.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,242.74 / $19,836.54 / $28,962.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,107.21 / $17,347.41 / $27,040.69