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California 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
$59,079.10 / $93,392.40 / $151,441.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63,378.58 / $82,995.89 / $189,660.98
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,684.00 / $44,990.58 / $135,996.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66,234.82 / $99,940.37 / $173,453.47
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98,464.22 / $142,975.45 / $167,793.83
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62,076.37 / $82,325.46 / $173,453.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,693.00 / $75,895.08 / $155,377.84