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California rates for MS-DRG 904

Skin grafts for injuries w CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44,275.50 / $69,990.89 / $113,494.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45,356.34 / $59,395.30 / $135,729.24
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $51,413.00 / $99,000.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48,752.45 / $73,462.00 / $129,991.01
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70,465.08 / $102,319.15 / $120,080.21
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44,858.16 / $61,697.06 / $129,991.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,693.00 / $56,877.95 / $116,444.62