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Louisiana 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
$30,877.60 / $42,606.10 / $71,307.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,272.00 / $53,193.71 / $81,926.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31,602.94 / $47,933.74 / $80,384.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,062.00 / $48,879.67 / $86,020.96