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Pennsylvania 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
$11,812.90 / $20,467.30 / $27,949.90
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,912.00 / $20,285.09 / $29,127.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,842.71 / $19,191.63 / $27,852.27
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,628.81 / $20,628.81 / $25,049.27
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,000.37 / $14,280.04 / $20,833.16
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,289.60 / $20,030.40 / $27,659.50
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,199.96 / $16,925.68 / $26,100.86
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $8,050.70 / $11,148.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,822.59 / $15,780.20 / $28,623.44