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Illinois rates for MS-DRG 905

Skin Grafts For Injuries Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,610.20 / $18,490.59 / $29,114.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,868.83 / $16,873.57 / $24,654.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,873.13 / $16,654.13 / $29,668.00
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.00 / $167.79 / $267.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,077.65 / $18,098.96 / $29,786.67