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Idaho 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
$43,130.60 / $43,130.60 / $43,130.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129,808.28 / $171,615.52 / $179,285.90
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79,320.36 / $92,372.98 / $104,945.18
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,764.00 / $71,732.09 / $118,810.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50,090.26 / $63,715.60 / $92,225.88