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New Jersey rates for MS-DRG 904

Skin grafts for injuries w CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51,423.40 / $82,369.30 / $107,221.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,382.99 / $82,248.00 / $111,405.12
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,817.00 / $4,817.00 / $4,817.00
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37,662.00 / $57,801.00 / $89,764.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,098.00 / $19,347.00 / $101,601.62