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Arkansas rates for MS-DRG 624

Skin grafts & wound debrid for endoc, nutrit & metab dis w/o CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,971.12 / $11,562.50 / $23,498.20
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,786.08 / $11,786.08 / $11,786.08
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,912.95 / $9,919.04 / $11,340.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,160.87 / $12,675.49 / $16,485.02
Qualchoice
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,553.99 / $13,553.99 / $13,553.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,518.00 / $11,517.48 / $16,192.07