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Idaho 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
$31,321.00 / $31,321.00 / $31,321.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94,265.41 / $124,625.39 / $130,195.54
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58,443.96 / $68,061.25 / $74,918.80
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,764.00 / $48,286.72 / $79,977.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36,375.01 / $46,269.60 / $66,973.47