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Michigan 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
$10,782.00 / $15,723.80 / $25,524.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,285.91 / $24,574.50 / $31,505.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,660.60 / $24,478.09 / $30,960.35
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,249.20 / $16,909.80 / $27,039.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,805.48 / $22,496.64 / $34,178.94