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Utah 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
$68,763.80 / $88,653.80 / $111,106.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72,432.92 / $119,834.83 / $153,647.35
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54,255.14 / $73,154.55 / $109,314.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $3,775.00 / $46,894.68