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Missouri 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
$10,275.34 / $14,602.20 / $24,243.00
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,276.63 / $7,276.63 / $7,276.63
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,269.24 / $10,680.00 / $18,050.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,973.17 / $15,500.00 / $22,094.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,824.38 / $14,961.46 / $31,196.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,824.38 / $14,928.91 / $20,981.84