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California 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
$41,844.30 / $66,147.50 / $107,262.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40,702.18 / $53,300.55 / $121,801.62
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $47,246.52 / $92,951.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43,024.65 / $68,542.78 / $122,852.85
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63,234.43 / $91,819.85 / $107,758.39
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40,309.51 / $58,309.11 / $122,852.85
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,693.00 / $53,754.63 / $110,050.32