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Illinois 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
$32,655.70 / $44,365.40 / $69,856.39
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,304.48 / $39,383.89 / $59,008.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,487.84 / $39,959.14 / $71,184.00
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.55 / $406.00 / $664.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31,377.91 / $43,425.80 / $71,468.74