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Washington 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
$19,442.00 / $31,009.60 / $54,607.90
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,198.62 / $22,002.00 / $31,196.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,977.28 / $24,111.59 / $40,392.55
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,621.41 / $18,183.00 / $24,436.65
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,600.00 / $18,881.86 / $30,976.41
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,072.20 / $22,033.67 / $30,208.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $19,423.23 / $53,070.54