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Utah 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
$48,703.70 / $62,791.30 / $72,170.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51,302.47 / $84,876.08 / $98,673.42
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34,843.03 / $46,831.59 / $70,202.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $3,775.00 / $33,214.36