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Indiana rates for MS-DRG 113

Amput For Circ Disor Exc Uppr Limb & Toe

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,404.70 / $43,801.00 / $58,777.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,036.66 / $35,234.55 / $56,376.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,681.84 / $35,266.50 / $80,880.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25,589.37 / $34,739.85 / $49,213.23