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Vermont rates for MS-DRG 904

Skin grafts for injuries w CC/MCC

Insurance Carrier
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41,421.55 / $78,339.88 / $103,798.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44,066.18 / $58,104.77 / $101,506.12
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44,066.18 / $58,104.77 / $101,506.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130,170.99 / $130,170.99 / $130,170.99