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Utah 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
$91,916.10 / $118,503.00 / $133,780.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$96,820.59 / $152,575.56 / $175,373.22
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61,926.86 / $83,234.23 / $124,771.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $3,775.00 / $62,683.80