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Arizona rates for MS-DRG 113

Amput For Circ Disor Exc Uppr Limb & Toe

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,085.50 / $38,092.50 / $50,066.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,835.00 / $18,614.27 / $31,483.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27,456.15 / $38,438.12 / $68,562.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32,811.94 / $42,700.68 / $62,346.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32,811.94 / $39,695.97 / $62,346.47