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New York 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
$28,201.70 / $65,005.40 / $115,330.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,613.00 / $79,567.96 / $121,572.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60,294.23 / $86,218.40 / $126,563.77
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44,367.96 / $85,254.11 / $178,780.57
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60,294.23 / $93,871.17 / $127,261.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,114.00 / $77,353.21 / $119,350.20