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Louisiana 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
$21,869.80 / $30,176.90 / $50,505.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,272.00 / $34,088.65 / $52,614.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,383.59 / $33,950.29 / $56,934.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,062.00 / $34,620.26 / $60,926.54