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Connecticut rates for MS-DRG 904

Skin grafts for injuries w CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64,521.70 / $86,196.60 / $128,559.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48,423.46 / $70,661.94 / $108,110.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55,555.64 / $84,657.61 / $118,002.97
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,845.00 / $85,300.40 / $109,737.54