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Maine rates for MS-DRG 257

Upper limb & toe amputation for circ system disorders w/o CC/MCC

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,224.02 / $16,216.66 / $20,790.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,324.84 / $16,867.93 / $33,023.76