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Wisconsin rates for MS-DRG 058

Multiple sclerosis & cerebellar ataxia w MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25,707.50 / $25,707.50 / $30,468.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,114.77 / $32,727.80 / $48,958.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,025.53 / $26,023.55 / $44,276.05
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,811.18 / $30,182.59 / $49,404.55
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.89 / $18,674.97 / $26,682.04
Security Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,406.21 / $29,819.12 / $35,044.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,319.09 / $31,806.44 / $40,094.61