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Pennsylvania rates for MS-DRG 574

Skin graft for skin ulcer or cellulitis with CC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31,305.10 / $56,753.90 / $77,502.50
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,946.00 / $48,379.00 / $73,470.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25,948.72 / $48,559.00 / $73,177.11
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57,201.73 / $57,201.73 / $69,459.24
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,550.49 / $63,452.08 / $95,323.74
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31,249.50 / $54,458.00 / $76,697.10
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25,948.72 / $46,471.63 / $73,040.09
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $26,502.08 / $38,508.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,864.30 / $43,757.00 / $79,370.09