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Iowa 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
$17,274.59 / $20,904.50 / $25,745.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,907.97 / $18,464.18 / $18,784.04
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.00 / $150.00 / $150.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,496.46 / $21,326.80 / $33,418.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,221.64 / $26,949.61 / $35,566.22