go back

Alabama rates for MS-DRG 904

Skin grafts for injuries w CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,948.60 / $29,035.90 / $33,476.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,252.00 / $3,702.00 / $6,578.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,303.98 / $33,910.06 / $58,200.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,137.00 / $32,999.12 / $51,243.42