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Virginia 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
$38,851.90 / $60,169.80 / $70,368.80
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38,619.76 / $58,463.25 / $82,461.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34,480.00 / $49,418.85 / $77,450.41
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,832.00 / $47,230.00 / $71,475.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,274.00 / $53,952.50 / $92,509.34