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Indiana 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
$38,986.60 / $64,672.20 / $86,785.00
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49,479.01 / $49,479.01 / $49,479.01
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29,251.13 / $54,100.94 / $86,563.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32,013.25 / $52,071.00 / $119,419.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,316.24 / $49,717.39 / $72,055.85