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Virginia rates for MS-DRG 905

Skin Grafts For Injuries Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,602.20 / $25,711.80 / $30,070.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,370.83 / $27,810.07 / $39,225.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,330.94 / $23,870.87 / $34,480.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,186.00 / $25,651.00 / $31,721.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,274.00 / $29,702.12 / $39,531.12