go back

Iowa 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
$10,499.30 / $12,705.60 / $15,648.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,276.51 / $11,222.36 / $11,416.77
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.00 / $150.00 / $150.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,026.40 / $12,962.23 / $20,311.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,290.53 / $16,379.72 / $21,616.82