go back

California rates for MS-DRG 264

Skn Grft/Debrid,Skn Ulcr,Cellulit W/O Cc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,802.00 / $61,767.70 / $131,258.00
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44,373.00 / $44,373.00 / $44,373.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,219.00 / $47,701.12 / $101,165.66
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $44,437.67 / $88,394.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44,771.83 / $69,202.00 / $118,223.83
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63,785.58 / $92,620.15 / $108,697.61
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41,585.37 / $56,773.50 / $118,223.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,760.00 / $51,729.19 / $101,991.86