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Oklahoma rates for MS-DRG 905

Skin Grafts For Injuries Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,416.62 / $17,249.00 / $24,422.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,964.25 / $17,480.31 / $27,447.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,790.44 / $15,516.36 / $27,606.07
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,230.28 / $15,483.90 / $32,644.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,308.00 / $14,320.74 / $29,009.37