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Missouri 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
$32,353.10 / $41,514.50 / $68,923.89
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,214.00 / $17,214.00 / $17,214.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,025.61 / $39,841.07 / $66,046.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35,784.19 / $45,379.80 / $67,074.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,394.35 / $42,536.00 / $116,376.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,394.35 / $42,443.46 / $59,652.19