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Indiana 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
$20,181.70 / $33,478.10 / $44,925.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,277.33 / $31,176.47 / $49,883.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,571.93 / $26,955.00 / $61,818.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,091.49 / $25,736.63 / $37,300.33