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Massachusetts 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
$13,518.80 / $28,033.20 / $36,601.30
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,840.42 / $25,600.06 / $68,551.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,839.69 / $26,191.28 / $39,575.33
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33,812.25 / $33,812.25 / $33,812.25
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,821.90 / $26,385.35 / $40,745.18
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,840.42 / $25,600.06 / $68,551.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,840.42 / $25,600.06 / $53,573.96