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New Jersey 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
$68,616.80 / $109,909.00 / $143,071.00
AmeriHealth
Facility/Professional
Facility
Modifier
Low / Median / High Price
$174,796.33 / $174,796.33 / $174,796.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63,225.48 / $109,748.00 / $148,653.40
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,817.00 / $4,817.00 / $4,817.00
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52,514.00 / $83,865.00 / $131,384.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,098.00 / $19,347.00 / $135,572.09