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South Carolina rates for MS-DRG 904

Skin grafts for injuries w CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57,619.90 / $64,022.10 / $64,022.10
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,388.59 / $59,888.13 / $91,448.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,942.00 / $72,275.59 / $110,780.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,895.45 / $95,647.52 / $123,496.97