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Kentucky rates for MS-DRG 904

Skin Grafts For Injuries With Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33,384.80 / $51,809.10 / $82,938.60
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,035.29 / $42,865.93 / $60,831.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30,849.85 / $41,329.72 / $72,415.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30,292.06 / $46,806.31 / $62,721.86