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Maine rates for MS-DRG 904

Skin grafts for injuries w CC/MCC

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,850.66 / $70,203.13 / $90,004.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44,811.82 / $56,727.36 / $111,059.85