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Pennsylvania 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
$33,584.60 / $58,189.40 / $81,776.20
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,946.00 / $62,985.47 / $94,871.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27,186.02 / $49,116.96 / $78,881.36
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58,648.50 / $58,648.50 / $71,216.03
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,096.16 / $49,459.22 / $66,685.23
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32,096.90 / $56,947.20 / $81,236.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27,186.02 / $47,647.01 / $75,427.49
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $28,638.49 / $41,612.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,553.84 / $44,863.72 / $81,377.55