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Massachusetts rates for MS-DRG 113

Amput For Circ Disor Exc Uppr Limb & Toe

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,687.30 / $36,677.19 / $47,887.20
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,840.42 / $33,493.76 / $89,689.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,723.82 / $34,267.28 / $51,778.28
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48,663.07 / $48,663.07 / $48,663.07
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29,858.97 / $34,521.19 / $53,308.84
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,840.42 / $33,493.76 / $89,689.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,840.42 / $33,493.76 / $70,093.34