go back

Texas rates for MS-DRG 905

Skin Grafts For Injuries Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,804.00 / $22,271.80 / $33,628.69
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$688.00 / $3,030.00 / $23,966.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,736.47 / $20,916.00 / $39,102.42
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31,315.80 / $51,259.02 / $51,259.02
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,048.00 / $18,542.50 / $42,767.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,785.26 / $16,614.08 / $37,829.67