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Alaska rates for MS-DRG 905

Skin Grafts For Injuries Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,410.40 / $39,047.50 / $79,334.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59,686.08 / $59,686.08 / $63,415.35
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,500.00 / $23,066.87 / $40,431.19
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,500.00 / $25,627.95 / $63,415.35