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Texas 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
$4,804.00 / $73,586.60 / $111,110.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$682.00 / $2,753.00 / $76,863.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42,081.70 / $68,278.62 / $129,195.63
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102,510.70 / $167,793.83 / $167,793.83
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43,111.00 / $61,265.00 / $141,306.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,257.00 / $54,893.44 / $125,500.13