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North Dakota rates for MS-DRG 904

Skin Grafts For Injuries With Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45,913.80 / $45,913.80 / $45,913.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69,605.25 / $80,046.03 / $129,855.10
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,056.66 / $27,180.94 / $63,034.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,056.66 / $27,180.94 / $64,293.94