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Arizona 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
$38,515.19 / $56,243.60 / $73,923.50
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38,643.91 / $38,643.91 / $38,643.91
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,593.07 / $37,320.44 / $62,612.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40,539.01 / $56,753.92 / $101,232.97
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48,446.86 / $63,047.57 / $92,054.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32,124.34 / $55,136.25 / $85,944.92