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North Dakota 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
$22,387.21 / $22,387.21 / $22,387.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34,673.69 / $39,810.72 / $63,095.73
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,882.50 / $13,182.57 / $30,902.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,882.50 / $23,988.33 / $30,199.52