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Washington rates for MS-DRG 905

Skin Grafts For Injuries Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,037.20 / $36,743.80 / $64,705.90
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,021.18 / $33,222.86 / $48,862.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,301.62 / $28,570.28 / $47,861.90
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,743.48 / $27,462.60 / $34,264.10
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,267.57 / $30,473.37 / $45,198.80
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,838.54 / $32,535.47 / $44,248.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $23,014.95 / $62,884.29