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North Dakota 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
$61,265.00 / $61,265.00 / $61,265.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92,877.74 / $106,809.40 / $173,272.12
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33,543.46 / $36,268.87 / $84,109.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33,543.46 / $36,268.87 / $85,790.60