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Alaska rates for MS-DRG 574

Skin graft for skin ulcer or cellulitis w CC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,763.70 / $91,377.70 / $185,655.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139,675.25 / $139,675.25 / $148,402.35
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,500.00 / $53,980.27 / $84,996.02
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,500.00 / $53,876.09 / $148,402.35