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Alaska rates for MS-DRG 573

Skin Graft For Skin Ulcer Or Cellulitis With Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90,142.00 / $172,453.00 / $350,377.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263,602.13 / $263,602.13 / $280,072.34
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,500.00 / $101,874.27 / $151,063.15
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,500.00 / $95,753.79 / $280,072.34