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Missouri rates for MS-DRG 113

Amput For Circ Disor Exc Uppr Limb & Toe

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,304.09 / $27,423.20 / $45,529.10
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,694.65 / $23,511.51 / $39,828.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,070.00 / $29,250.04 / $41,902.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,132.46 / $28,098.00 / $70,180.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,132.46 / $28,036.87 / $39,404.44