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Texas 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
$4,804.00 / $88,691.00 / $148,520.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$682.00 / $2,753.00 / $84,348.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54,507.65 / $91,267.55 / $172,694.90
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117,005.80 / $191,520.02 / $191,520.02
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55,686.90 / $80,975.30 / $188,883.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,257.00 / $73,375.67 / $167,755.15