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Arizona 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
$54,378.80 / $79,409.20 / $104,371.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,598.75 / $47,928.05 / $81,063.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57,236.21 / $80,129.72 / $142,928.79
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68,401.14 / $89,015.59 / $129,970.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68,401.14 / $82,751.86 / $129,970.02