go back

Michigan rates for MS-DRG 904

Skin grafts for injuries w CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,993.60 / $33,792.50 / $52,172.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41,000.05 / $58,287.69 / $74,727.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25,878.50 / $48,019.52 / $59,941.32
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,993.60 / $34,563.90 / $55,269.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,890.77 / $45,983.54 / $69,862.36