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Florida rates for MS-DRG 904

Skin grafts for injuries w CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44,848.60 / $76,554.80 / $124,434.00
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30,113.40 / $30,113.40 / $30,113.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38,457.36 / $60,826.54 / $95,959.74
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,241.53 / $42,987.27 / $96,778.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44,569.40 / $69,219.57 / $92,147.06