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California 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
$15,090.40 / $23,855.00 / $38,682.10
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,783.41 / $15,430.68 / $35,261.97
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $15,008.78 / $28,131.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,237.35 / $25,038.00 / $45,314.24
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,306.58 / $26,582.15 / $31,196.41
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,138.67 / $21,179.64 / $45,314.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,693.00 / $19,385.66 / $39,687.73