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Missouri 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
$25,549.50 / $40,490.40 / $67,223.70
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,098.37 / $36,100.79 / $61,155.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34,901.46 / $43,187.69 / $62,098.62
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,866.59 / $41,486.69 / $107,758.39
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,696.25 / $38,286.07 / $57,437.78