go back

Oklahoma rates for MS-DRG 904

Skin grafts for injuries w CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,316.80 / $42,710.80 / $60,473.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,381.75 / $38,918.40 / $59,328.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,242.46 / $38,420.62 / $68,356.39
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,117.00 / $36,406.98 / $80,831.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,308.00 / $34,303.08 / $71,831.14