go back

Vermont rates for MS-DRG 576

Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc

Insurance Carrier
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55,270.83 / $104,532.79 / $138,503.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58,799.70 / $77,532.08 / $135,444.66
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58,799.70 / $77,532.08 / $135,444.66
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173,693.63 / $173,693.63 / $173,693.63