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Idaho 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
$57,652.30 / $57,652.30 / $57,652.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173,513.83 / $229,397.27 / $239,650.21
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104,991.20 / $114,797.85 / $134,515.82
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,764.00 / $78,484.86 / $129,995.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66,955.31 / $85,168.20 / $123,277.69