go back

Oregon 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
$22,462.50 / $42,786.60 / $51,663.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,397.00 / $38,635.50 / $70,152.06
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29,053.80 / $35,611.08 / $40,961.33
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,960.65 / $29,974.40 / $44,077.15
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,980.14 / $42,346.64 / $66,318.28
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27,804.05 / $38,536.31 / $50,762.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $37,749.58 / $54,314.33