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North Dakota 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
$43,392.50 / $43,392.50 / $43,392.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65,783.03 / $75,650.48 / $122,724.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,899.56 / $25,688.36 / $59,572.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,899.56 / $25,688.36 / $60,763.39