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Wisconsin rates for MS-DRG 113

Amput For Circ Disor Exc Uppr Limb & Toe

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35,355.80 / $35,355.80 / $41,903.69
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,590.17 / $40,009.51 / $59,851.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,916.72 / $35,790.56 / $60,893.49
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25,871.29 / $41,510.55 / $67,946.78
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$361.73 / $22,830.02 / $34,671.67
Security Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29,440.26 / $41,010.66 / $48,197.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,569.83 / $43,743.86 / $55,142.70