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Ohio 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
$15,748.90 / $25,441.90 / $35,205.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,444.82 / $26,052.94 / $39,470.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,196.35 / $23,524.53 / $36,439.57
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,830.61 / $22,608.06 / $34,484.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,403.00 / $26,236.20 / $38,873.81