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California 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
$78,970.60 / $124,837.00 / $202,430.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72,340.37 / $94,731.59 / $216,479.20
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $75,653.03 / $151,382.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73,255.46 / $126,225.82 / $229,849.32
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112,387.15 / $163,192.29 / $191,520.02
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70,771.00 / $110,043.87 / $218,565.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,693.00 / $101,448.43 / $207,692.48