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Idaho rates for MS-DRG 905

Skin Grafts For Injuries Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,053.90 / $13,053.90 / $13,053.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39,287.85 / $51,941.25 / $54,262.77
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25,938.76 / $30,207.13 / $34,196.25
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,764.00 / $19,989.46 / $33,108.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,160.35 / $19,284.20 / $27,913.14