go back

Wisconsin rates for MS-DRG 257

Upper Limb And Toe Amputation For Circulatory System Disorders Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,424.50 / $16,424.50 / $19,466.30
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,719.03 / $15,813.38 / $23,655.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,433.22 / $16,626.45 / $28,287.98
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,018.47 / $19,283.66 / $31,564.58
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$142.97 / $9,023.35 / $14,297.16
Security Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,676.43 / $19,051.43 / $22,390.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,464.82 / $20,170.75 / $25,616.46