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California 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
$8,802.00 / $20,715.80 / $31,753.80
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,477.14 / $14,750.24 / $31,352.96
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $14,181.65 / $27,042.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,634.30 / $24,694.75 / $44,945.12
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48,537.00 / $48,537.00 / $48,537.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,824.55 / $19,188.38 / $46,054.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,693.00 / $16,912.72 / $34,624.92