go back

North Dakota 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
$13,652.50 / $13,652.50 / $13,652.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,697.18 / $23,801.77 / $38,612.55
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,082.28 / $8,331.66 / $18,743.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,082.28 / $8,331.66 / $19,117.87