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Louisiana 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
$11,321.10 / $15,621.30 / $26,144.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,272.00 / $19,685.49 / $30,318.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,587.06 / $17,574.66 / $29,472.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,062.00 / $17,921.48 / $31,539.15