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Ohio rates for MS-DRG 904

Skin grafts for injuries w CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32,191.00 / $52,003.80 / $71,959.70
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31,440.93 / $50,379.63 / $76,326.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31,061.61 / $48,084.55 / $74,483.12
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,270.01 / $46,211.27 / $70,486.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,403.00 / $56,888.97 / $79,985.42