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California 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
$21,661.00 / $34,241.80 / $55,525.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,455.23 / $30,715.23 / $70,189.99
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $25,535.92 / $58,769.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,214.97 / $37,379.40 / $63,595.83
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36,439.78 / $52,912.55 / $62,097.37
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,453.53 / $30,401.65 / $63,595.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,693.00 / $27,826.55 / $56,968.49