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Pennsylvania 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
$57,579.00 / $104,822.00 / $146,267.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,946.00 / $67,535.45 / $123,436.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45,564.00 / $90,409.32 / $138,103.51
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107,953.97 / $107,953.97 / $131,086.96
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56,191.00 / $99,057.20 / $144,747.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45,564.00 / $87,703.59 / $136,590.14
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $46,858.37 / $68,440.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29,939.90 / $82,580.39 / $149,791.21