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North Carolina rates for MS-DRG 113

Amput For Circ Disor Exc Uppr Limb & Toe

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$789.00 / $6,085.00 / $33,639.50
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,692.04 / $23,692.04 / $23,692.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,200.00 / $26,967.12 / $41,626.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,590.93 / $34,396.58 / $45,961.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25,373.07 / $38,188.92 / $55,142.70