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Michigan 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
$6,553.20 / $9,556.75 / $15,513.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,905.17 / $18,346.62 / $23,521.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,695.00 / $14,877.56 / $18,817.41
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,837.17 / $10,277.60 / $16,434.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,998.64 / $13,673.25 / $20,773.64