go back

Illinois rates for MS-DRG 113

Amput For Circ Disor Exc Uppr Limb & Toe

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,571.30 / $29,306.50 / $46,145.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,383.22 / $26,020.86 / $37,974.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,818.20 / $25,979.66 / $47,022.00
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.00 / $268.19 / $439.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,727.30 / $28,685.77 / $47,210.09