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Louisiana 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
$6,880.86 / $9,494.50 / $15,890.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,272.00 / $9,097.37 / $14,038.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,042.51 / $10,681.72 / $17,913.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,062.00 / $10,747.25 / $19,169.20