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Illinois 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
$16,487.50 / $22,399.60 / $35,269.69
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,047.51 / $19,984.43 / $29,794.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,383.19 / $19,856.84 / $35,940.00
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.52 / $186.34 / $305.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,520.35 / $21,506.50 / $34,757.57