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Oklahoma 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
$11,407.40 / $20,895.50 / $29,585.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,289.10 / $19,767.08 / $31,587.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,860.20 / $18,796.62 / $33,442.17
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,117.00 / $18,757.12 / $39,545.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,308.00 / $15,903.45 / $35,142.12