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Virginia 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
$20,112.00 / $31,147.40 / $35,232.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,255.21 / $33,690.31 / $47,519.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,559.41 / $28,658.56 / $40,092.87
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,356.00 / $27,372.00 / $38,427.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,274.00 / $27,928.97 / $47,773.25