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California rates for MS-DRG 622

Skin grafts & wound debrid for endoc, nutrit & metab dis w MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42,902.60 / $67,820.60 / $109,975.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43,957.27 / $57,563.18 / $131,542.51
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $52,548.18 / $94,579.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49,551.18 / $72,575.64 / $125,960.09
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68,291.50 / $99,163.00 / $116,376.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43,516.07 / $60,488.60 / $125,960.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,693.00 / $55,114.21 / $112,833.76