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Wisconsin rates for MS-DRG 905

Skin Grafts For Injuries Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,307.40 / $22,307.40 / $26,438.60
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,960.43 / $29,222.58 / $43,715.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,244.68 / $22,581.65 / $38,420.06
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,323.20 / $26,190.61 / $42,870.26
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$264.20 / $16,674.84 / $23,824.34
Security Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,575.00 / $25,875.21 / $30,409.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,763.93 / $27,599.70 / $34,791.66