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Wisconsin 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
$98,520.00 / $98,520.00 / $116,766.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67,105.89 / $109,184.88 / $163,333.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80,577.17 / $99,731.31 / $169,681.26
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72,091.02 / $115,670.21 / $189,335.46
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$987.16 / $62,302.51 / $96,613.50
Security Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82,036.03 / $114,277.25 / $134,304.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74,037.50 / $121,893.38 / $153,656.54