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Wisconsin 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
$18,826.09 / $18,826.09 / $22,312.60
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,930.78 / $17,784.96 / $26,605.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,397.41 / $19,057.55 / $32,424.21
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,775.79 / $22,103.30 / $36,179.91
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$160.80 / $10,148.36 / $16,114.46
Security Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,676.18 / $21,837.12 / $25,664.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,147.75 / $23,292.48 / $29,362.06