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Alaska rates for MS-DRG 623

Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disorders With Cc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,682.60 / $47,220.80 / $95,940.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72,179.36 / $72,179.36 / $76,689.23
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,500.00 / $27,895.15 / $46,954.25
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,500.00 / $29,762.70 / $76,689.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,195.00 / $23,195.00 / $23,195.00