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Maine rates for MS-DRG 623

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

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,008.65 / $34,778.83 / $44,588.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,885.58 / $27,704.99 / $54,240.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,195.00 / $23,195.00 / $23,195.00