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North Carolina 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
$16,218.10 / $20,417.38 / $35,481.34
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,302.69 / $20,417.38 / $33,113.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,378.01 / $27,542.29 / $35,481.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,135.61 / $26,915.35 / $41,686.94