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Oklahoma 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
$31,112.80 / $56,991.20 / $80,693.39
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32,664.08 / $51,439.35 / $83,749.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32,347.92 / $51,266.55 / $91,211.33
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,117.00 / $50,685.09 / $107,857.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,308.00 / $45,772.31 / $95,847.87