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Wisconsin 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
$73,704.20 / $73,704.20 / $87,354.10
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58,792.58 / $95,658.66 / $143,099.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60,280.99 / $74,610.48 / $126,941.08
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53,932.36 / $86,534.61 / $141,644.68
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$864.87 / $54,584.25 / $77,987.77
Security Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61,372.39 / $85,492.51 / $100,475.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55,388.56 / $91,190.26 / $114,952.74