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Indiana 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
$20,146.90 / $33,420.40 / $44,847.50
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,369.74 / $22,369.74 / $22,369.74
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,052.61 / $29,866.45 / $47,787.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,543.34 / $26,908.50 / $61,711.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,943.25 / $26,038.46 / $37,235.98