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Texas 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
$4,804.00 / $53,437.80 / $80,687.10
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,741.20 / $21,741.20 / $43,102.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$688.00 / $2,910.00 / $53,668.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30,329.00 / $49,583.22 / $93,820.51
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71,098.00 / $116,376.20 / $116,376.20
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$184,898.19 / $184,898.19 / $184,898.19
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31,427.74 / $43,991.71 / $102,615.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,257.00 / $39,863.04 / $91,136.88