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Michigan rates for MS-DRG 113

Amput For Circ Disor Exc Uppr Limb & Toe

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,106.60 / $20,572.09 / $33,395.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29,575.70 / $42,046.27 / $53,905.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,564.46 / $32,025.84 / $40,506.89
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,717.90 / $22,123.90 / $35,377.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,212.40 / $29,433.42 / $44,717.92