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Alaska rates for MS-DRG 577

Skin graft exc for skin ulcer or cellulitis w CC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36,471.50 / $69,774.39 / $141,763.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$106,653.57 / $106,653.57 / $113,317.43
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,500.00 / $41,218.39 / $65,318.90
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,500.00 / $41,403.43 / $113,317.43