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Rhode Island rates for MS-DRG 904

Skin grafts for injuries w CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54,954.09 / $87,096.36 / $87,096.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58,884.37 / $100,000.00 / $100,000.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,317.64 / $10,000.00 / $52,480.75