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Maine rates for MS-DRG 113

Amput For Circ Disor Exc Uppr Limb & Toe

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,224.14 / $41,029.86 / $52,602.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,683.42 / $36,310.39 / $71,087.86