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Washington, DC rates for MS-DRG 904

Skin grafts for injuries w CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72,360.10 / $89,340.80 / $122,549.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62,104.77 / $79,882.58 / $150,215.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,060.64 / $67,096.52 / $117,700.82