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Utah 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
$25,168.40 / $32,448.40 / $44,289.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,511.35 / $43,861.03 / $54,472.72
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,235.12 / $25,853.40 / $38,755.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $23,195.00 / $28,288.01