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Georgia rates for MS-DRG 904

Skin grafts for injuries w CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43,933.90 / $58,196.60 / $101,822.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,939.30 / $48,413.36 / $104,962.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,239.00 / $55,834.79 / $90,909.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,496.00 / $59,974.38 / $103,019.44