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Louisiana rates for MS-DRG 905

Skin Grafts For Injuries Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,345.42 / $12,895.20 / $21,582.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,272.00 / $15,945.37 / $25,028.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,564.95 / $14,507.65 / $24,329.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,062.00 / $14,793.95 / $26,035.15