go back

Alaska rates for MS-DRG 622

Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disorders With Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48,971.70 / $93,688.80 / $190,350.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143,207.97 / $143,207.97 / $152,155.79
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,500.00 / $55,345.56 / $91,847.81
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,500.00 / $58,219.20 / $152,155.79