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Vermont rates for MS-DRG 257

Upper limb & toe amputation for circ system disorders w/o CC/MCC

Insurance Carrier
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,316.74 / $23,294.44 / $30,864.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,103.12 / $17,277.50 / $30,182.95
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,103.12 / $17,277.50 / $30,182.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38,706.48 / $38,706.48 / $38,706.48