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Iowa rates for MS-DRG 904

Skin grafts for injuries w CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35,309.50 / $42,729.20 / $52,624.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34,560.19 / $37,741.10 / $38,394.91
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.00 / $150.00 / $150.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33,719.06 / $43,592.35 / $68,308.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41,333.39 / $55,085.48 / $72,698.00