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Idaho 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
$11,016.70 / $11,016.70 / $11,016.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33,156.57 / $43,835.28 / $45,794.50
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,303.76 / $22,774.70 / $26,262.12
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,764.00 / $14,067.22 / $23,299.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,794.42 / $16,274.70 / $23,557.00