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Ohio 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
$11,220.18 / $15,848.93 / $24,547.09
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,120.11 / $13,489.63 / $20,417.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,471.29 / $16,595.87 / $25,118.86
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,120.11 / $13,803.84 / $22,908.68
SummaCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,606.93 / $10,471.29 / $17,378.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,413.10 / $16,595.87 / $24,547.09