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Oregon 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
$81,892.50 / $155,989.00 / $188,353.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,397.00 / $140,855.10 / $226,129.10
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77,660.63 / $123,805.74 / $142,223.66
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57,289.67 / $88,297.02 / $99,999.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64,564.50 / $128,652.32 / $200,603.37
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79,975.37 / $118,853.26 / $145,394.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $137,625.26 / $198,016.07