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North Carolina rates for MS-DRG 905

Skin Grafts For Injuries Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$789.00 / $6,085.00 / $21,224.50
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32,550.38 / $32,550.38 / $32,550.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,200.00 / $17,241.56 / $26,937.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,391.95 / $21,702.14 / $29,346.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,008.85 / $24,094.87 / $34,791.66