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Idaho 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
$29,397.30 / $29,397.30 / $29,397.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88,475.79 / $116,971.11 / $122,199.15
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55,043.37 / $64,101.06 / $68,590.46
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,764.00 / $41,223.44 / $68,279.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34,140.93 / $46,768.40 / $80,181.00