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Utah 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
$49,935.60 / $64,379.40 / $76,656.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52,600.03 / $87,022.80 / $106,564.68
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37,629.55 / $50,576.87 / $75,816.66
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $3,775.00 / $34,054.43