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Virginia 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
$73,323.30 / $113,555.00 / $132,803.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68,639.28 / $104,085.89 / $147,870.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39,111.86 / $93,265.73 / $146,168.29
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,603.00 / $80,583.00 / $130,101.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,274.00 / $131,178.68 / $174,588.26