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Virginia 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
$54,854.20 / $84,952.50 / $99,352.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60,136.01 / $91,191.36 / $129,551.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34,835.00 / $69,773.48 / $116,514.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,603.00 / $73,479.00 / $104,456.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,274.00 / $98,136.73 / $130,612.08