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Alaska rates for MS-DRG 576

Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67,436.60 / $129,014.00 / $262,122.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$197,204.68 / $197,204.68 / $209,526.30
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,500.00 / $76,213.66 / $132,347.69
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,500.00 / $83,890.69 / $209,526.30