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Tennessee 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
$40,959.30 / $69,146.10 / $121,677.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,970.46 / $32,490.51 / $53,006.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37,258.92 / $62,679.14 / $86,001.36
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$142,975.45 / $142,975.45 / $167,793.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,787.00 / $60,260.25 / $86,074.87