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New York rates for MS-DRG 904

Skin grafts for injuries w CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29,226.90 / $63,996.40 / $108,052.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72,564.16 / $110,890.79 / $153,613.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63,797.52 / $91,227.98 / $133,917.54
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46,945.89 / $90,207.66 / $189,168.32
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63,797.52 / $99,325.40 / $134,655.85
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,114.00 / $81,847.69 / $126,284.85