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Missouri 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
$8,661.86 / $12,739.40 / $21,150.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,526.03 / $9,496.04 / $16,468.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,056.34 / $14,194.23 / $21,742.23
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,826.25 / $13,052.88 / $48,537.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,210.01 / $12,315.65 / $18,071.54