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Washington 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
$76,115.60 / $121,403.00 / $213,790.00
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38,667.54 / $115,969.34 / $167,793.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70,381.23 / $94,397.11 / $158,137.22
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54,209.39 / $83,551.05 / $95,297.18
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25,008.03 / $100,501.59 / $159,948.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81,955.99 / $113,625.02 / $154,089.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $76,042.12 / $207,771.67