go back

Wisconsin rates for MS-DRG 075

Other Female Reproductive System OR Procedures without CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,835.40 / $28,835.40 / $34,175.60
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,768.99 / $30,538.15 / $45,683.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,583.77 / $29,189.91 / $49,663.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,100.00 / $33,855.00 / $55,415.75
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$276.10 / $17,425.52 / $27,610.07
Security Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,010.76 / $33,447.30 / $39,308.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,669.71 / $35,676.43 / $44,973.05