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Maine rates for MS-DRG 577

Skin graft exc for skin ulcer or cellulitis w CC

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,442.29 / $52,480.75 / $61,659.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34,673.69 / $40,738.03 / $79,432.82
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39,810.72 / $39,810.72 / $39,810.72