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Texas 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
$4,804.00 / $14,448.00 / $28,380.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$688.00 / $3,030.00 / $15,554.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,748.81 / $17,652.00 / $34,061.69
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,058.90 / $31,196.41 / $31,196.41
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68,162.20 / $68,162.20 / $68,162.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,012.00 / $15,648.75 / $36,093.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,882.41 / $14,021.28 / $32,056.15