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Oregon 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 / $116,698.00 / $140,910.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,397.00 / $105,375.80 / $189,558.47
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80,074.85 / $94,748.30 / $110,010.17
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54,209.39 / $86,082.90 / $95,496.81
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67,212.73 / $116,219.40 / $180,878.79
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75,129.55 / $104,129.29 / $139,908.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $102,959.51 / $148,138.76