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Pennsylvania rates for MS-DRG 578

Skin graft exc for skin ulcer or cellulitis w/o CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,158.00 / $26,263.00 / $35,864.50
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,876.00 / $24,643.00 / $36,773.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,228.70 / $24,319.29 / $35,739.19
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,470.26 / $26,470.26 / $32,142.46
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,183.99 / $33,891.72 / $53,460.99
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,486.50 / $25,702.40 / $35,491.80
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,270.07 / $21,718.53 / $35,633.62
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $13,229.26 / $18,786.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,341.25 / $20,248.66 / $36,728.73