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Tennessee 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
$20,892.96 / $32,359.37 / $89,125.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52,480.75 / $75,857.76 / $117,489.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,183.83 / $43,651.58 / $57,543.99
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128,824.96 / $128,824.96 / $128,824.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,951.21 / $44,668.36 / $69,183.10