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Idaho rates for MS-DRG 904

Skin grafts for injuries w CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32,359.37 / $32,359.37 / $32,359.37
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,840.32 / $47,863.01 / $74,131.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97,723.72 / $128,824.96 / $134,896.29
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32,359.37 / $60,255.96 / $77,624.71
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33,113.11 / $47,863.01 / $69,183.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37,153.52 / $47,863.01 / $51,286.14