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Wisconsin 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
$27,023.30 / $27,023.30 / $32,027.90
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,758.03 / $35,401.49 / $52,958.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,101.72 / $27,355.55 / $46,542.30
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,774.03 / $31,727.47 / $51,933.30
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$320.07 / $20,200.61 / $28,861.82
Security Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,501.87 / $31,345.39 / $36,838.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,863.11 / $33,187.00 / $42,146.84