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Idaho 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
$30,548.30 / $30,548.30 / $30,548.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91,940.03 / $121,551.07 / $126,983.81
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57,078.15 / $66,470.67 / $71,276.10
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,764.00 / $42,988.01 / $71,201.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35,477.71 / $45,128.20 / $65,321.33