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Massachusetts 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
$8,216.62 / $17,038.30 / $22,245.90
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,840.42 / $15,559.48 / $48,537.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,627.21 / $15,918.82 / $24,053.52
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,606.36 / $22,606.36 / $22,606.36
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,870.94 / $16,036.77 / $24,764.54
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,840.42 / $15,559.48 / $48,537.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,840.42 / $15,559.48 / $32,561.76