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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
$8,912.51 / $11,481.54 / $13,182.57
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,748.98 / $11,748.98 / $11,748.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,762.47 / $9,120.11 / $11,220.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,128.31 / $13,182.57 / $16,595.87
Qualchoice
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,489.63 / $13,489.63 / $13,489.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,862.09 / $12,882.50 / $16,982.44