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Wyoming 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
$4,778.04 / $7,115.45 / $19,923.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,383.00 / $28,436.52 / $30,747.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,603.99 / $12,603.99 / $12,603.99