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Tennessee 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
$29,010.50 / $48,974.50 / $86,181.00
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,769.63 / $17,769.63 / $28,481.48
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,819.82 / $20,331.18 / $33,133.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25,712.10 / $44,394.10 / $60,912.66
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91,819.85 / $91,819.85 / $107,758.39
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,787.00 / $41,816.48 / $60,964.73