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Wisconsin 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
$52,202.90 / $52,202.90 / $61,870.80
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37,757.01 / $61,432.67 / $91,899.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42,695.55 / $52,844.78 / $89,909.26
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38,198.97 / $61,290.34 / $100,323.46
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.41 / $35,054.39 / $51,192.74
Security Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43,468.56 / $60,552.26 / $71,164.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36,439.29 / $64,109.82 / $81,418.22