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Oregon 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 / $82,654.00 / $99,802.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,397.00 / $74,635.10 / $127,231.13
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51,174.00 / $67,486.75 / $75,379.58
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33,906.29 / $55,190.50 / $61,328.73
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43,225.75 / $73,444.52 / $114,094.30
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48,248.73 / $65,221.07 / $89,275.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $72,923.70 / $104,923.07