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Virginia 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
$12,302.69 / $19,054.61 / $22,387.21
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,803.84 / $20,417.38 / $28,183.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,481.54 / $17,782.79 / $28,840.32
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,803.84 / $19,054.61 / $26,915.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,073.80 / $19,498.45 / $29,512.09