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Illinois 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
$10,020.90 / $13,614.30 / $19,124.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,997.43 / $12,659.61 / $18,792.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,741.96 / $12,068.81 / $21,680.17
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.92 / $127.99 / $203.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,136.25 / $12,841.00 / $20,728.86