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Texas 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
$25,118.86 / $38,018.94 / $61,659.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,882.50 / $26,915.35 / $45,708.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,988.33 / $39,810.72 / $74,131.02
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95,499.26 / $95,499.26 / $95,499.26
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,454.40 / $35,481.34 / $61,659.50
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,442.29 / $33,113.11 / $79,432.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,079.46 / $32,359.37 / $72,443.60