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Indiana 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
$55,044.40 / $91,309.40 / $122,530.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45,095.76 / $84,242.21 / $134,790.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45,198.87 / $73,518.00 / $168,606.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53,663.24 / $74,419.82 / $102,591.92