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Wisconsin rates for MS-DRG 057

Degenerative nervous system disorders w/o MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,483.20 / $19,483.20 / $23,091.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,540.95 / $23,658.91 / $35,392.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,934.88 / $19,722.79 / $33,556.04
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,256.67 / $22,874.85 / $37,442.83
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.90 / $13,500.12 / $19,288.43
Security Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,223.39 / $22,599.38 / $26,559.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,641.60 / $24,105.54 / $30,387.00