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North Carolina rates for MS-DRG 904

Skin grafts for injuries w CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$789.00 / $6,600.00 / $52,554.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,200.00 / $41,472.97 / $65,032.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31,067.08 / $53,737.45 / $71,805.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39,640.10 / $59,662.16 / $86,148.89