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New Jersey 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
$91,719.60 / $146,915.00 / $191,242.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84,513.06 / $146,384.00 / $198,703.96
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,817.00 / $4,817.00 / $4,817.00
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52,643.00 / $86,852.00 / $137,071.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,098.00 / $19,347.00 / $181,218.28