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Wisconsin rates for MS-DRG 086

Traumatic Stupor And Coma <1 Hour With Cc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,590.00 / $19,590.00 / $23,218.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,292.50 / $23,254.66 / $34,787.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,022.21 / $19,830.87 / $33,739.93
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,334.79 / $23,000.21 / $37,648.03
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$210.25 / $13,269.46 / $19,210.91
Security Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,312.29 / $22,723.23 / $26,705.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,721.84 / $24,237.65 / $30,553.53