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New Jersey 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
$48,599.60 / $77,846.10 / $101,334.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44,781.06 / $77,732.00 / $105,287.56
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,817.00 / $4,817.00 / $4,817.00
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34,285.00 / $52,285.00 / $81,993.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,909.00 / $29,047.48 / $93,394.55