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Indiana rates for MS-DRG 904

Skin grafts for injuries w CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51,286.14 / $70,794.58 / $81,283.05
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37,153.52 / $67,608.30 / $89,125.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33,884.42 / $51,286.14 / $125,892.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30,902.95 / $50,118.72 / $74,131.02