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Tennessee 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
$9,127.52 / $15,408.80 / $27,115.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,982.03 / $26,543.24 / $42,902.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,302.90 / $14,203.11 / $19,662.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,237.94 / $48,537.00 / $48,537.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,787.00 / $13,156.64 / $19,181.22