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Massachusetts rates for MS-DRG 904

Skin grafts for injuries w CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27,632.70 / $57,300.40 / $74,813.70
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,840.42 / $52,326.98 / $140,121.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32,376.61 / $53,535.43 / $80,892.67
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76,025.82 / $76,025.82 / $76,025.82
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46,648.37 / $53,932.13 / $83,283.87
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,840.42 / $52,326.98 / $140,121.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,840.42 / $52,326.98 / $109,506.13