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Idaho rates for MS-DRG 113

Amput For Circ Disor Exc Uppr Limb & Toe

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,689.70 / $20,689.70 / $20,689.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62,268.88 / $82,323.77 / $86,003.24
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39,641.66 / $45,478.94 / $48,273.65
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,764.00 / $31,647.14 / $52,417.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,028.24 / $30,564.30 / $44,240.65