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Washington 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
$24,947.40 / $39,790.50 / $70,071.20
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,335.77 / $33,785.07 / $50,114.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,067.90 / $30,939.26 / $51,830.50
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,060.84 / $26,852.10 / $30,831.41
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,350.30 / $31,253.65 / $45,963.67
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,225.02 / $33,368.50 / $45,381.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $24,923.30 / $68,098.50