go back

Arizona rates for MS-DRG 904

Skin grafts for injuries w CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40,753.00 / $59,511.60 / $78,218.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,989.87 / $35,376.32 / $59,834.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42,894.46 / $60,051.51 / $107,114.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51,261.78 / $66,710.84 / $97,403.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51,261.78 / $62,016.62 / $97,403.27