go back

Texas 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
$4,804.00 / $26,980.20 / $40,738.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$688.00 / $3,030.00 / $28,652.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,383.00 / $25,034.01 / $47,368.92
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37,937.30 / $62,097.37 / $62,097.37
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,806.00 / $22,210.92 / $51,809.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,081.00 / $19,366.27 / $45,478.48