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Ohio rates for MS-DRG 905

Skin Grafts For Injuries Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,000.50 / $21,002.00 / $29,061.30
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,421.29 / $21,505.71 / $32,581.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,544.39 / $19,419.18 / $30,080.39
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,416.99 / $18,662.66 / $28,466.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,812.69 / $23,096.23 / $32,302.52