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Michigan 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
$29,407.20 / $42,885.50 / $69,616.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73,974.14 / $105,165.29 / $134,827.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34,530.96 / $60,078.91 / $79,982.67
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30,681.50 / $46,120.30 / $73,748.39
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35,881.69 / $61,358.12 / $93,220.82