go back

Wisconsin rates for MS-DRG 042

Periph/cranial nerve & other nerv syst proc w/o CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25,981.20 / $25,981.20 / $30,792.80
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,152.56 / $31,162.24 / $46,616.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,249.38 / $26,300.60 / $44,747.43
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,011.46 / $30,503.93 / $49,930.53
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.74 / $17,781.64 / $25,478.39
Security Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,634.10 / $30,136.58 / $35,418.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,524.77 / $32,145.07 / $40,521.48