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Illinois rates for MS-DRG 574

Skin graft for skin ulcer or cellulitis with CC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31,850.10 / $43,271.00 / $63,995.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,969.86 / $38,410.08 / $54,671.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27,785.09 / $38,358.97 / $69,428.00
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.28 / $395.98 / $648.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27,489.76 / $41,545.72 / $67,143.82