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Connecticut 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
$86,094.50 / $115,016.00 / $171,542.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72,717.85 / $105,050.86 / $151,068.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74,130.64 / $112,962.86 / $157,457.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,845.00 / $113,820.57 / $146,428.25