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Mississippi rates for MS-DRG 904

Skin grafts for injuries w CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,286.50 / $33,792.50 / $45,329.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,897.00 / $43,392.71 / $51,595.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,723.64 / $34,894.44 / $54,922.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,350.00 / $43,111.17 / $54,446.36