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Washington 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
$53,910.80 / $85,986.60 / $151,422.00
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,850.96 / $71,446.87 / $103,863.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49,849.30 / $66,859.16 / $112,004.72
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33,906.29 / $53,567.25 / $61,200.53
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,661.26 / $64,298.10 / $97,201.53
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49,115.04 / $69,214.63 / $94,009.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,963.31 / $31,003.21 / $77,825.32