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Pennsylvania 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
$16,927.20 / $29,328.50 / $40,270.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,191.00 / $33,056.49 / $45,650.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,536.97 / $26,294.99 / $40,321.82
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29,559.88 / $29,559.88 / $35,894.15
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,817.54 / $24,884.56 / $51,754.81
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,177.40 / $29,328.50 / $40,050.60
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,615.96 / $24,217.65 / $40,321.82
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $14,901.54 / $21,273.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,130.00 / $23,053.41 / $37,716.75