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Oklahoma rates for MS-DRG 113

Amput For Circ Disor Exc Uppr Limb & Toe

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,924.80 / $27,338.60 / $38,708.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,429.99 / $24,777.66 / $39,660.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,517.26 / $24,592.51 / $43,753.97
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,117.00 / $22,697.52 / $51,739.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,308.00 / $22,697.52 / $45,978.11