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Wisconsin rates for MS-DRG 059

Skin Ulcers with MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,660.70 / $18,660.70 / $22,116.60
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,333.56 / $21,694.42 / $32,453.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,262.11 / $18,890.09 / $32,139.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,654.75 / $21,909.08 / $35,862.01
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$196.14 / $12,379.16 / $18,299.55
Security Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,538.44 / $21,645.24 / $25,438.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,025.73 / $22,916.94 / $29,104.07