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New Jersey 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
$25,158.00 / $40,297.69 / $52,456.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,181.30 / $40,238.00 / $54,503.01
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,817.00 / $4,817.00 / $4,817.00
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,280.00 / $30,161.00 / $48,075.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,909.00 / $18,117.06 / $48,346.49