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Indiana rates for MS-DRG 905

Skin Grafts For Injuries Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,659.80 / $27,635.70 / $37,085.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,952.89 / $25,734.99 / $41,176.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,679.91 / $22,251.00 / $51,030.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,241.75 / $21,918.72 / $31,050.53