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Minnesota rates for MS-DRG 904

Skin grafts for injuries w CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,782.79 / $39,810.72 / $64,565.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50,118.72 / $70,794.58 / $95,499.26
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,863.01 / $57,543.99 / $81,283.05
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35,481.34 / $57,543.99 / $77,624.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36,307.81 / $58,884.37 / $81,283.05