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Indiana 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
$48,977.88 / $67,608.30 / $75,857.76
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33,884.42 / $63,095.73 / $83,176.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32,359.37 / $48,977.88 / $120,226.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29,512.09 / $47,863.01 / $70,794.58