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Rhode Island 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
$171,542.00 / $171,542.00 / $171,542.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78,752.48 / $132,621.57 / $134,915.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,306.00 / $10,063.00 / $69,954.83