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New Jersey 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
$15,946.10 / $24,492.60 / $31,882.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,089.38 / $24,348.41 / $33,126.43
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,817.00 / $4,817.00 / $4,817.00
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,648.00 / $18,970.00 / $30,313.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,909.00 / $16,813.00 / $29,384.55