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New York 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
$38,998.80 / $85,393.60 / $144,179.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104,420.63 / $154,953.01 / $200,926.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85,128.21 / $121,730.03 / $178,692.85
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62,642.24 / $120,368.57 / $252,416.70
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85,128.21 / $132,534.82 / $179,677.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,114.00 / $109,213.44 / $168,656.00