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Idaho 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
$15,786.30 / $15,786.30 / $15,786.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,511.44 / $62,813.41 / $65,620.86
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30,970.88 / $36,067.32 / $38,786.83
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,764.00 / $23,494.59 / $38,914.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,333.66 / $23,320.70 / $33,755.82