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Wisconsin rates for MS-DRG 004

Peripheral, Cranial Nerve and Other Nervous System Procedures with MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208,297.00 / $208,297.00 / $246,874.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$155,868.03 / $250,524.90 / $353,278.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$170,361.55 / $210,858.48 / $358,751.26
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$152,419.56 / $244,557.55 / $400,305.46
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,265.04 / $142,953.21 / $204,266.60
Security Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173,445.98 / $241,612.46 / $283,955.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$156,534.95 / $262,497.88 / $345,564.73