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Wisconsin rates for MS-DRG 067

Precerebral Occlusion Without Infarction With Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,877.62 / $26,302.68 / $26,915.35
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,218.10 / $28,183.83 / $40,738.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,982.44 / $22,908.68 / $41,686.94
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,054.61 / $21,877.62 / $28,183.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,218.10 / $25,703.96 / $42,657.95
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.21 / $16,595.87 / $21,877.62
Security Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,988.33 / $30,199.52 / $31,622.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,218.10 / $27,542.29 / $38,018.94