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New Jersey rates for MS-DRG 905

Skin Grafts For Injuries Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,657.60 / $33,265.19 / $43,301.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,135.86 / $33,216.00 / $44,991.52
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,817.00 / $4,817.00 / $4,817.00
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,979.00 / $27,876.00 / $45,914.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,098.00 / $19,347.00 / $41,032.33