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Missouri rates for MS-DRG 905

Skin Grafts For Injuries Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,803.84 / $16,218.10 / $20,892.96
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,079.46 / $16,595.87 / $28,183.83
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,218.10 / $20,417.38 / $21,877.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,791.08 / $19,498.45 / $31,622.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,912.51 / $17,782.79 / $29,512.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,471.29 / $16,595.87 / $25,703.96