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Utah rates for MS-DRG 905

Skin Grafts For Injuries Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,812.09 / $26,832.00 / $33,996.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,922.59 / $36,269.28 / $46,937.44
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,574.30 / $22,277.07 / $33,394.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $3,775.00 / $14,193.17