go back

Tennessee 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
$15,017.50 / $25,352.10 / $44,612.30
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,243.03 / $16,595.82 / $27,519.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,312.80 / $22,980.99 / $31,652.32
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52,912.55 / $52,912.55 / $62,097.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,787.00 / $21,646.66 / $31,558.91