go back

North Dakota rates for MS-DRG 905

Skin Grafts For Injuries Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,542.50 / $18,542.50 / $18,542.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,110.43 / $32,326.99 / $52,442.64
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,818.06 / $10,977.16 / $25,456.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,818.06 / $10,977.16 / $25,965.43