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Washington 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
$101,743.00 / $162,278.00 / $285,772.00
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44,342.40 / $129,691.69 / $189,627.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94,078.10 / $126,179.96 / $211,380.92
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57,289.67 / $87,053.40 / $99,999.00
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,170.36 / $114,713.66 / $177,464.57
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89,671.22 / $125,605.62 / $170,767.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $101,644.97 / $277,726.95