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Oregon rates for MS-DRG 904

Skin grafts for injuries w CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45,913.80 / $87,456.50 / $105,602.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,397.00 / $78,971.64 / $135,655.89
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57,852.00 / $70,025.67 / $79,754.75
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37,240.32 / $61,495.50 / $68,341.47
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48,149.41 / $77,985.99 / $113,902.45
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53,765.82 / $66,703.25 / $87,969.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $77,160.81 / $111,019.45