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California rates for MS-DRG 905

Skin Grafts For Injuries Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,880.90 / $28,266.20 / $45,835.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,361.40 / $25,354.26 / $57,939.17
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $21,200.99 / $44,955.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,534.52 / $33,283.05 / $54,645.49
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30,079.65 / $43,677.30 / $51,259.02
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,453.66 / $25,096.16 / $54,645.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,693.00 / $22,970.45 / $47,026.75