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Missouri 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
$13,225.90 / $20,960.20 / $34,798.90
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,934.00 / $20,803.61 / $35,241.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,067.04 / $22,356.48 / $32,145.89
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,801.77 / $21,475.95 / $62,097.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,231.25 / $19,916.09 / $29,733.16