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North Carolina 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
$789.00 / $6,600.00 / $49,668.80
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46,880.10 / $46,880.10 / $46,880.10
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,200.00 / $39,303.19 / $61,461.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29,361.10 / $50,786.58 / $67,862.39
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27,118.19 / $45,700.98 / $73,812.38