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Wisconsin rates for MS-DRG 087

Traumatic stupor & coma, coma <1 hr w/o CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,755.30 / $13,755.30 / $16,302.70
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,632.94 / $15,673.32 / $23,446.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,250.11 / $13,924.39 / $23,690.73
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,065.28 / $16,149.76 / $26,434.83
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.71 / $8,943.43 / $13,489.08
Security Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,453.79 / $15,955.28 / $18,751.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,337.04 / $17,018.63 / $21,453.37