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Arkansas rates for MS-DRG 904

Skin grafts for injuries w CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,321.40 / $33,924.80 / $68,944.10
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29,074.58 / $29,074.58 / $29,074.58
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,119.02 / $28,980.18 / $33,131.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,010.13 / $37,190.14 / $48,367.38
Qualchoice
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33,435.76 / $33,435.76 / $33,435.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,518.00 / $33,792.51 / $47,507.88