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New York rates for MS-DRG 905

Skin Grafts For Injuries Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,803.40 / $25,845.30 / $43,637.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31,899.26 / $47,336.30 / $61,380.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25,764.95 / $36,842.87 / $54,083.28
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,959.34 / $36,430.82 / $76,396.58
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25,764.95 / $40,113.06 / $54,381.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,464.47 / $33,925.36 / $51,000.78