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Indiana 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
$15,135.61 / $20,892.96 / $23,988.33
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,481.54 / $19,952.62 / $26,302.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,000.00 / $15,135.61 / $38,018.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,772.37 / $15,135.61 / $22,387.21