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Utah rates for MS-DRG 624

Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disorders Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,564.20 / $20,683.91 / $25,563.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,501.34 / $24,852.81 / $30,609.08
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,087.17 / $13,557.90 / $20,323.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $3,775.00 / $11,978.18