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New York 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
$14,298.70 / $31,309.10 / $52,862.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39,283.07 / $57,345.22 / $74,359.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31,211.82 / $44,631.69 / $65,516.82
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,967.46 / $44,132.52 / $92,547.30
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31,211.82 / $48,593.22 / $65,878.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,042.50 / $40,042.55 / $61,121.36