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Utah rates for MS-DRG 113

Amput For Circ Disor Exc Uppr Limb & Toe

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32,985.90 / $37,941.66 / $48,009.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34,745.99 / $55,909.52 / $64,263.45
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,692.37 / $30,500.21 / $45,720.97
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $3,775.00 / $22,495.32