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Idaho 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
$23,326.20 / $23,326.20 / $23,326.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70,203.78 / $92,814.26 / $96,962.61
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44,311.20 / $51,602.85 / $54,425.18
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,764.00 / $33,436.94 / $55,382.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27,090.15 / $34,459.10 / $49,878.22