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Arizona rates for MS-DRG 575

Skin Graft For Skin Ulcer Or Cellulitis Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,988.33 / $35,481.34 / $51,286.14
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,456.54 / $17,378.01 / $28,840.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,379.62 / $29,512.09 / $50,118.72
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,302.68 / $32,359.37 / $47,863.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,595.87 / $31,622.78 / $45,708.82